| The Neighborhood Center, Inc. | |
|
628 Mary St Utica NY 13501-2419 | |
| (315) 272-2700 | |
| (315) 732-2229 |
| Full Name | The Neighborhood Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 628 Mary St, Utica, New York |
| Authorized Official Name and Position | Sandra Soroka (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3152722600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neighborhood Center, Inc. 624 Elizabeth St Utica NY 13501-2413 Ph: (315) 272-2600 | The Neighborhood Center, Inc. 628 Mary St Utica NY 13501-2419 Ph: (315) 272-2700 |
| NPI Number | 1811088719 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 3678619897 |
|---|---|
| Medicare Enrollment ID | O20110825000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811088719 | NPI | - | NPPES |
| 01556481 | Medicaid | NY | |
| 02997419 | Medicaid | NY | |
| 01415058 | Medicaid | NY |
| Provider Name | Patricia E Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659472603 PECOS PAC ID: 6608815576 Enrollment ID: I20050429000387 |
| Provider Name | Vijayakumar Komareth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740348978 PECOS PAC ID: 6507964038 Enrollment ID: I20070607000259 |
| Provider Name | Ronald Thesee |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1295850105 PECOS PAC ID: 4183770068 Enrollment ID: I20090917000311 |
| Provider Name | Kelly L Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033407408 PECOS PAC ID: 1951558980 Enrollment ID: I20120828000009 |
| Provider Name | Amber J Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255594024 PECOS PAC ID: 9638328420 Enrollment ID: I20121011000717 |
| Provider Name | Zhe Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629459037 PECOS PAC ID: 0042529083 Enrollment ID: I20151014001650 |
| Provider Name | Edward P Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316311699 PECOS PAC ID: 6002113859 Enrollment ID: I20170720001060 |
| Provider Name | Brittie A Wintle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912427915 PECOS PAC ID: 6709151806 Enrollment ID: I20170928002969 |
| Provider Name | Shawn Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639490899 PECOS PAC ID: 5991071920 Enrollment ID: I20171019000630 |
| Provider Name | Timothy Joseph Potts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730491689 PECOS PAC ID: 4981960960 Enrollment ID: I20171107002542 |
| Provider Name | Laurie A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578809067 PECOS PAC ID: 4183971385 Enrollment ID: I20180719000147 |
| Provider Name | Sarah Bliss Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225316516 PECOS PAC ID: 0042560401 Enrollment ID: I20180905002011 |
| Provider Name | Emily R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754567 PECOS PAC ID: 8325387764 Enrollment ID: I20190304000304 |
| Provider Name | Heather A Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003153370 PECOS PAC ID: 2567796949 Enrollment ID: I20190619002466 |
| Provider Name | Kristin Haley Sauerbier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861995995 PECOS PAC ID: 7618300823 Enrollment ID: I20191202001762 |
| Provider Name | Steven Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437689015 PECOS PAC ID: 5092081612 Enrollment ID: I20200504002101 |
| Provider Name | Ashley Michelle Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033775408 PECOS PAC ID: 8820400906 Enrollment ID: I20201214002436 |
| Provider Name | Katherine C Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013587690 PECOS PAC ID: 3779988282 Enrollment ID: I20210821000430 |
| Provider Name | Rachel Marie Bastien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851936413 PECOS PAC ID: 0941689335 Enrollment ID: I20220615000345 |
| Provider Name | Christen Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144670969 PECOS PAC ID: 3870965106 Enrollment ID: I20230214000973 |
| Provider Name | Nicole Sylvia Beanblossom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518450121 PECOS PAC ID: 5698130672 Enrollment ID: I20230426001300 |
| Provider Name | Michele Joy Kern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154344331 PECOS PAC ID: 8628429198 Enrollment ID: I20240109002431 |
| Provider Name | Kayla Lenora Corpin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578158341 PECOS PAC ID: 9537510029 Enrollment ID: I20240109003172 |
| Provider Name | Robert Yousey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801386594 PECOS PAC ID: 1557712072 Enrollment ID: I20240109004445 |
| Provider Name | Stacy Michelle Bisgrove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770920522 PECOS PAC ID: 3577914001 Enrollment ID: I20240109004790 |
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