| Supportive Care Of Pennsylvania Llc | |
|
20 Robert Pitt Dr Unit 209 Monsey NY 10952-3330 | |
| (845) 826-0060 | |
| Not Available |
| Full Name | Supportive Care Of Pennsylvania Llc |
|---|---|
| Speciality | Psychologist |
| Location | 20 Robert Pitt Dr, Monsey, New York |
| Authorized Official Name and Position | Joel Meisels (PRESIDENT) |
| Authorized Official Contact | 8458260060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Of Pennsylvania Llc 20 Robert Pitt Dr Unit 209 Monsey NY 10952-3330 Ph: (845) 826-0060 | Supportive Care Of Pennsylvania Llc 20 Robert Pitt Dr Unit 209 Monsey NY 10952-3330 Ph: (845) 826-0060 |
| NPI Number | 1174992275 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/18/2015 |
| Medicare PECOS PAC ID | 0143521211 |
|---|---|
| Medicare Enrollment ID | O20151214002225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174992275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew R Vogelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770646705 PECOS PAC ID: 1557351582 Enrollment ID: I20040513000248 |
| Provider Name | Priscilla Asonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265758080 PECOS PAC ID: 5799761540 Enrollment ID: I20040624000914 |
| Provider Name | Valerie T Grabowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760676498 PECOS PAC ID: 0648290197 Enrollment ID: I20051130000074 |
| Provider Name | Rosemary D. Caolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154399962 PECOS PAC ID: 6800802018 Enrollment ID: I20060224000682 |
| Provider Name | Marilyn Ann Nadik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821149204 PECOS PAC ID: 0749297562 Enrollment ID: I20060320000164 |
| Provider Name | Maureen J Rebar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932387602 PECOS PAC ID: 2961586144 Enrollment ID: I20080227000011 |
| Provider Name | Amy P Seader |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588808398 PECOS PAC ID: 0042361446 Enrollment ID: I20090625000019 |
| Provider Name | Stephanie Rakoczy-schetrompf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205166329 PECOS PAC ID: 6002943511 Enrollment ID: I20100414000665 |
| Provider Name | Lesley Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063581742 PECOS PAC ID: 1658401955 Enrollment ID: I20100614000160 |
| Provider Name | Kristen M English |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063719516 PECOS PAC ID: 0345425658 Enrollment ID: I20110502000733 |
| Provider Name | Marian M Mullahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992080444 PECOS PAC ID: 6002073152 Enrollment ID: I20120201000867 |
| Provider Name | Salamatu E Turay-kanneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689923252 PECOS PAC ID: 6507017019 Enrollment ID: I20121109000470 |
| Provider Name | Eileen M Cleary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275691701 PECOS PAC ID: 0547414450 Enrollment ID: I20130130000375 |
| Provider Name | Darren L Whaley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023352044 PECOS PAC ID: 8729216148 Enrollment ID: I20140110000631 |
| Provider Name | Jennifer Ann Turpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871920892 PECOS PAC ID: 3173755915 Enrollment ID: I20140807001219 |
| Provider Name | Marjorie Patricia Maine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704215 PECOS PAC ID: 0547573966 Enrollment ID: I20150714002292 |
| Provider Name | Gemma C Kaunert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962697482 PECOS PAC ID: 2163725573 Enrollment ID: I20160119001705 |
| Provider Name | Courtenay J Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538592696 PECOS PAC ID: 3375848468 Enrollment ID: I20160229000186 |
| Provider Name | Anthony James Pieracini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376928713 PECOS PAC ID: 7113217431 Enrollment ID: I20160527000746 |
| Provider Name | Omasiel H Comrie-reinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649721713 PECOS PAC ID: 2264717420 Enrollment ID: I20170330001612 |
| Provider Name | Aurea Yadith Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215462411 PECOS PAC ID: 2567749229 Enrollment ID: I20170710001336 |
| Provider Name | Amy Lynn Sunday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407195845 PECOS PAC ID: 2062770266 Enrollment ID: I20171216000016 |
| Provider Name | Nichole Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851766372 PECOS PAC ID: 0446508832 Enrollment ID: I20180801001001 |
| Provider Name | Michelle Jacobs Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780159251 PECOS PAC ID: 2466705983 Enrollment ID: I20181031001797 |
| Provider Name | Ann H Genetta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326019092 PECOS PAC ID: 0648305854 Enrollment ID: I20181120002802 |
| Provider Name | Gloria Chomicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073977450 PECOS PAC ID: 6406134766 Enrollment ID: I20190520002218 |
| Provider Name | Stephanie Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316403116 PECOS PAC ID: 5597090548 Enrollment ID: I20190712000617 |
| Provider Name | Anna Shusharina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558822767 PECOS PAC ID: 2567799604 Enrollment ID: I20190812002668 |
| Provider Name | Kimberly Majcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568684546 PECOS PAC ID: 4789916669 Enrollment ID: I20191025000769 |
| Provider Name | Mary L Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417426115 PECOS PAC ID: 0345672234 Enrollment ID: I20191114001545 |
| Provider Name | Brittany Rae Rush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578105318 PECOS PAC ID: 5890027148 Enrollment ID: I20191204000114 |
| Provider Name | Elizabeth A Merryfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023632601 PECOS PAC ID: 9537581491 Enrollment ID: I20200623000041 |
| Provider Name | Krista Coons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679082465 PECOS PAC ID: 7416370465 Enrollment ID: I20200708003804 |
| Provider Name | Jessica M Corrar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124490149 PECOS PAC ID: 8123445780 Enrollment ID: I20200827000554 |
| Provider Name | Eve Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477786259 PECOS PAC ID: 5294153276 Enrollment ID: I20200909000468 |
| Provider Name | Jonathan H Ausubel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457791949 PECOS PAC ID: 4183843873 Enrollment ID: I20201001001435 |
| Provider Name | Lisa Faul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821602087 PECOS PAC ID: 7810308665 Enrollment ID: I20201130000883 |
| Provider Name | Brent T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376186064 PECOS PAC ID: 7416360227 Enrollment ID: I20210114002292 |
| Provider Name | Jamie Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750980728 PECOS PAC ID: 8729494919 Enrollment ID: I20210315000006 |
| Provider Name | David Lockley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922699230 PECOS PAC ID: 5294143186 Enrollment ID: I20210414000058 |
| Provider Name | Joann Zanghi-mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579131 PECOS PAC ID: 7315355674 Enrollment ID: I20210427000052 |
| Provider Name | Heather Lynn Conolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528687134 PECOS PAC ID: 2062813405 Enrollment ID: I20210623002133 |
| Provider Name | Genevieve Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275938854 PECOS PAC ID: 8820490402 Enrollment ID: I20210706002842 |
| Provider Name | Marvin George Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831760099 PECOS PAC ID: 2668874645 Enrollment ID: I20210713003457 |
| Provider Name | April Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518562958 PECOS PAC ID: 3870999808 Enrollment ID: I20210831000969 |
| Provider Name | Kimberly Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972067999 PECOS PAC ID: 3678971470 Enrollment ID: I20211008000850 |
| Provider Name | Annah Wambul Murage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285206730 PECOS PAC ID: 0648678961 Enrollment ID: I20211018000156 |
| Provider Name | Donna Bolinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972265395 PECOS PAC ID: 9931597226 Enrollment ID: I20211019000368 |
| Provider Name | Lisa Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639535545 PECOS PAC ID: 5092063768 Enrollment ID: I20211109000734 |
| Provider Name | Margaret Keenan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447235197 PECOS PAC ID: 9335284439 Enrollment ID: I20211110001873 |
| Provider Name | Andrea Willoughby Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992293419 PECOS PAC ID: 6103216395 Enrollment ID: I20211201003243 |
| Provider Name | Mihaela Pendos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740775444 PECOS PAC ID: 1557796943 Enrollment ID: I20220303000003 |
| Provider Name | Lisa S Skema |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699296970 PECOS PAC ID: 5294121182 Enrollment ID: I20220331003143 |
| Provider Name | Peter Phoenix Chinnici |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619024288 PECOS PAC ID: 3476873621 Enrollment ID: I20220531002143 |
| Provider Name | Debra Mambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437880937 PECOS PAC ID: 4880075670 Enrollment ID: I20220726001295 |
| Provider Name | Jeanne Denise Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477152544 PECOS PAC ID: 8224410691 Enrollment ID: I20220802000046 |
| Provider Name | Jennifer Lynn Enigk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710612221 PECOS PAC ID: 7911389341 Enrollment ID: I20220802002604 |
| Provider Name | Doreen Joanne D'agostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083081079 PECOS PAC ID: 8325328453 Enrollment ID: I20220808000440 |
| Provider Name | Gregory Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265700983 PECOS PAC ID: 4587955430 Enrollment ID: I20220823000126 |
| Provider Name | Melody Ann Latsha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215090626 PECOS PAC ID: 7416332341 Enrollment ID: I20220914000061 |
| Provider Name | Sherice Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699403030 PECOS PAC ID: 3678940616 Enrollment ID: I20221104001172 |
| Provider Name | Diana Salisbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639804743 PECOS PAC ID: 6406224666 Enrollment ID: I20221118000528 |
| Provider Name | Carol A Kieny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316276504 PECOS PAC ID: 4183600109 Enrollment ID: I20221128003045 |
| Provider Name | Mona Sarshar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760190904 PECOS PAC ID: 1850761040 Enrollment ID: I20230104001848 |
| Provider Name | Sasha Rose Relyea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205563723 PECOS PAC ID: 7416327218 Enrollment ID: I20230111001758 |
| Provider Name | Anah Ukpere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114695913 PECOS PAC ID: 8820468622 Enrollment ID: I20230111001907 |
| Provider Name | Chad E Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740690411 PECOS PAC ID: 3870971898 Enrollment ID: I20230117002486 |
| Provider Name | Katherine Dipaulo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396896932 PECOS PAC ID: 6305217589 Enrollment ID: I20230126000621 |
| Provider Name | Nicholas Terry Armao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346802030 PECOS PAC ID: 1355714346 Enrollment ID: I20230221003319 |
| Provider Name | Kristina W Lohre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144550757 PECOS PAC ID: 9436314689 Enrollment ID: I20230222000552 |
| Provider Name | Mary Jane Grisnik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457466443 PECOS PAC ID: 8224401955 Enrollment ID: I20230228002554 |
| Provider Name | Paul Alexander Clifford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952000168 PECOS PAC ID: 9537532692 Enrollment ID: I20230310001618 |
| Provider Name | Angela M Muri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838695 PECOS PAC ID: 7810361722 Enrollment ID: I20230316000077 |
| Provider Name | Annike Borge Sprow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669117560 PECOS PAC ID: 2567836166 Enrollment ID: I20230322001678 |
| Provider Name | Rotimi Mafolasere Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518673953 PECOS PAC ID: 4789049545 Enrollment ID: I20230501000046 |
| Provider Name | Kaley A Peck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942977392 PECOS PAC ID: 9133584774 Enrollment ID: I20230503002125 |
| Provider Name | Avanti Cross-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144846767 PECOS PAC ID: 6002219607 Enrollment ID: I20230508002214 |
| Provider Name | Karen Y Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225654726 PECOS PAC ID: 8426447251 Enrollment ID: I20230510000002 |
| Provider Name | Amber Lu Brick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790949766 PECOS PAC ID: 0446618714 Enrollment ID: I20230619000025 |
| Provider Name | Temitayo Fatima Akingbehin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487340733 PECOS PAC ID: 6002274164 Enrollment ID: I20230621002742 |
| Provider Name | Charrisse Leiana Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639853013 PECOS PAC ID: 7810356557 Enrollment ID: I20230628004494 |
| Provider Name | Stephen M Lange |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255380945 PECOS PAC ID: 7810023983 Enrollment ID: I20230717000062 |
| Provider Name | Carol G Ellstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679500078 PECOS PAC ID: 9638232283 Enrollment ID: I20230724000407 |
| Provider Name | Olabisi Salimot Kadiku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487342747 PECOS PAC ID: 2668833625 Enrollment ID: I20230807003220 |
| Provider Name | Kelly Brock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588185060 PECOS PAC ID: 7618339334 Enrollment ID: I20230812000132 |
| Provider Name | Lauren Decarlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710125810 PECOS PAC ID: 0749642379 Enrollment ID: I20230815000948 |
| Provider Name | Oluwaseyi Oluwaseun Effraim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902586043 PECOS PAC ID: 0345503272 Enrollment ID: I20230817002053 |
| Provider Name | Kareema Abdussalaam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881305688 PECOS PAC ID: 1850755687 Enrollment ID: I20230913001093 |
| Provider Name | Jensyn L Seely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477110534 PECOS PAC ID: 1759745144 Enrollment ID: I20230919001674 |
| Provider Name | James Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386396869 PECOS PAC ID: 2567818750 Enrollment ID: I20231024002776 |
| Provider Name | Laura Ann Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548034424 PECOS PAC ID: 1759738503 Enrollment ID: I20231115003274 |
| Provider Name | Folakemi Tunji Akintomide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427831429 PECOS PAC ID: 1153779152 Enrollment ID: I20231201001139 |
| Provider Name | Timothy Matthew Race |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083486625 PECOS PAC ID: 0345699815 Enrollment ID: I20231208001601 |
| Provider Name | Jillian J Carolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487354890 PECOS PAC ID: 0244673812 Enrollment ID: I20240211000007 |
| Provider Name | Carli Jordan Turngren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154056943 PECOS PAC ID: 5890139588 Enrollment ID: I20240221002786 |
| Provider Name | Benjamin David Lasner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174195127 PECOS PAC ID: 4183060411 Enrollment ID: I20240308003547 |
| Provider Name | Sasha Winters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033683321 PECOS PAC ID: 0941647069 Enrollment ID: I20240326000541 |
| Provider Name | Fehintolu Adebote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942062781 PECOS PAC ID: 0941640916 Enrollment ID: I20240425000123 |
| Provider Name | Dawn Wingerter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699161091 PECOS PAC ID: 9537500533 Enrollment ID: I20240517002111 |
| Provider Name | Lavonya Ann Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003431594 PECOS PAC ID: 1557705019 Enrollment ID: I20240520001427 |
| Provider Name | Graceann Diehl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336998822 PECOS PAC ID: 1355783440 Enrollment ID: I20240521001516 |
| Provider Name | Ilona Menshova |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386389666 PECOS PAC ID: 1254505902 Enrollment ID: I20240522000575 |
Tamar Eva Shtrambrand Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 37 S Parker Dr, Monsey, NY 10952 Phone: 516-749-9731 | |
Meir Oster Lmsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 26 Nissan Ct, Monsey, NY 10952 Phone: 845-570-0743 | |
Bsd Trading Usa Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Horizon Ct, 203, Monsey, NY 10952 Phone: 845-418-5530 | |
Kids First Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Robert Pitt Dr., Monsey, NY 10952 Phone: 845-425-2299 Fax: 845-302-1687 | |
Monsey Licensed Behavior Analyst Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Martha Rd, Monsey, NY 10952 Phone: 917-696-2019 Fax: 845-290-0467 | |
Mrothschild Mental Health Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Robert Pitt Dr # 102e, Monsey, NY 10952 Phone: 845-262-4444 | |
Sipuk, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Holly Cir, Monsey, NY 10952 Phone: 845-459-4512 |