| Schuyler County Mental Health | |
|
106 S Perry St Ste 4 Watkins Glen NY 14891-1615 | |
| (607) 535-8282 | |
| (607) 535-8284 |
| Full Name | Schuyler County Mental Health |
|---|---|
| Speciality | Social Worker |
| Location | 106 S Perry St, Watkins Glen, New York |
| Authorized Official Name and Position | M Shawn Rosno (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Contact | 6075358282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schuyler County Mental Health 106 S Perry St Ste 4 Watkins Glen NY 14891-1615 Ph: (607) 535-8282 | Schuyler County Mental Health 106 S Perry St Ste 4 Watkins Glen NY 14891-1615 Ph: (607) 535-8282 |
| NPI Number | 1003869165 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 8527970177 |
|---|---|
| Medicare Enrollment ID | O20031103000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003869165 | NPI | - | NPPES |
| 000159429 | Other | NY | BLUE CROSS BLUE SHEILD |
| 00357520 | Medicaid | NY | |
| 01371457 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anne B Bussard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003805334 PECOS PAC ID: 8426041229 Enrollment ID: I20040407000333 |
| Provider Name | Valerie H Lighthall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629382411 PECOS PAC ID: 5799097416 Enrollment ID: I20150708002046 |
| Provider Name | Nita Toupin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760720536 PECOS PAC ID: 8426203563 Enrollment ID: I20210413002200 |
| Provider Name | Patricia C Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326512328 PECOS PAC ID: 7214305986 Enrollment ID: I20221130002235 |
| Provider Name | Marc D Mcdowell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407022114 PECOS PAC ID: 9638521404 Enrollment ID: I20240117001592 |
| Provider Name | Eric S Benner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023710431 PECOS PAC ID: 0547603219 Enrollment ID: I20240209000718 |