| The Family Tree Psychiatric & Medical Services | |
|
5225 Nesconset Hwy Ste 46 Port Jefferson Station NY 11776-2060 | |
| (631) 209-1477 | |
| (631) 744-3246 |
| Full Name | The Family Tree Psychiatric & Medical Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5225 Nesconset Hwy Ste 46, Port Jefferson Station, New York |
| Authorized Official Name and Position | Robert Daniel Colucci (PRESIDENT) |
| Authorized Official Contact | 6312091477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Tree Psychiatric & Medical Services 70 Cobblestone Dr Shoreham NY 11786-2359 Ph: (631) 209-1477 | The Family Tree Psychiatric & Medical Services 5225 Nesconset Hwy Ste 46 Port Jefferson Station NY 11776-2060 Ph: (631) 209-1477 |
| NPI Number | 1427238005 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 11/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427238005 | NPI | - | NPPES |
| 02916365 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 199981 (New York) | Primary |
Suffolk Brain And Nerve, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776 Phone: 631-410-9420 Fax: 631-410-2017 | |
Turning Point Therapy, Lcsw, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1050 Hallock Ave Ste 2, Port Jefferson Station, NY 11776 Phone: 631-793-9517 | |
Social Work For Counseling For Inspirational Living Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6 Roosevelt Ave Ste 2, Port Jefferson Station, NY 11776 Phone: 631-474-1533 Fax: 631-474-1533 | |
Rise Therapy Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-253-8512 | |
Community Growth Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-240-3471 | |
Ellen J Gordon Licensed Master Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-736-7707 | |
Changing Seasons Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-209-7042 |