| South Shore Counseling And Psychological Services P C | |
|
3305 Jerusalem Ave Ste 207 Wantagh NY 11793-2028 | |
| (516) 785-0323 | |
| (516) 785-6026 |
| Full Name | South Shore Counseling And Psychological Services P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 3305 Jerusalem Ave Ste 207, Wantagh, New York |
| Authorized Official Name and Position | William James (OWNER) |
| Authorized Official Contact | 5167850323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Counseling And Psychological Services P C 3305 Jerusalem Ave Ste 207 Wantagh NY 11793-2028 Ph: (516) 785-0323 | South Shore Counseling And Psychological Services P C 3305 Jerusalem Ave Ste 207 Wantagh NY 11793-2028 Ph: (516) 785-0323 |
| NPI Number | 1336209469 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 5890849434 |
|---|---|
| Medicare Enrollment ID | O20090818000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336209469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0124781 (New York) | Primary |
| Provider Name | William H James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346364163 PECOS PAC ID: 3173677705 Enrollment ID: I20090818000032 |
| Provider Name | Kathleen E Halley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043540040 PECOS PAC ID: 5698097012 Enrollment ID: I20141212002181 |
| Provider Name | Veronica L Silverstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366799702 PECOS PAC ID: 8628373255 Enrollment ID: I20160219000973 |
| Provider Name | Beth Kalenka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922614932 PECOS PAC ID: 5890188015 Enrollment ID: I20220211000902 |
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