Tompkins County Mental Health Services | |
201 E Green St Ithaca NY 14850-5421 | |
(607) 274-6305 | |
(607) 274-6316 |
Full Name | Tompkins County Mental Health Services |
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Speciality | Clinic/Center |
Location | 201 E Green St, Ithaca, New York |
Authorized Official Name and Position | Betsy Doling (FISCAL OFFICER) |
Authorized Official Contact | 6072746300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tompkins County Mental Health Services 201 E Green St Ithaca NY 14850-5421 Ph: (607) 274-6305 | Tompkins County Mental Health Services 201 E Green St Ithaca NY 14850-5421 Ph: (607) 274-6305 |
NPI Number | 1588686596 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 11/04/2016 |
Medicare PECOS PAC ID | 0143210443 |
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Medicare Enrollment ID | O20040518000222 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588686596 | NPI | - | NPPES |
00357891 | Medicaid | NY | |
012251 | Other | VALUE OPTIONS | |
000147759 | Other | EXCELLUS |
Provider Name | Gerard Lippert |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013955152 PECOS PAC ID: 1557546413 Enrollment ID: I20110420000041 |
Provider Name | James L Haines-burnham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699894998 PECOS PAC ID: 9739314931 Enrollment ID: I20170505000286 |
Provider Name | Brenda Leigh Hill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093142499 PECOS PAC ID: 7214298843 Enrollment ID: I20180222002196 |
Provider Name | Patricia Jean Zalewski-gibson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912146531 PECOS PAC ID: 2466782610 Enrollment ID: I20191001002130 |
Provider Name | Mi Jin Doe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205268166 PECOS PAC ID: 3274969993 Enrollment ID: I20200128002530 |
Provider Name | Heather Sanford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497293245 PECOS PAC ID: 1759719958 Enrollment ID: I20200323001534 |
Provider Name | Anne Simone Bartone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700496155 PECOS PAC ID: 6800208570 Enrollment ID: I20201222001938 |
Provider Name | Jennifer Leigh Forte |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114280625 PECOS PAC ID: 4486061199 Enrollment ID: I20210325000160 |
Provider Name | Katie Peters |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073088621 PECOS PAC ID: 4385047976 Enrollment ID: I20210720001795 |
Provider Name | Emilee Cool |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962915561 PECOS PAC ID: 1557767647 Enrollment ID: I20210915002785 |
Provider Name | Maranda Mcfadden |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316420144 PECOS PAC ID: 5193111458 Enrollment ID: I20220413001985 |
Provider Name | Sarah Jane Post |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205468758 PECOS PAC ID: 6103271788 Enrollment ID: I20231017003095 |
Provider Name | Megan Anne Hogan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144994021 PECOS PAC ID: 4385080035 Enrollment ID: I20240315002652 |
Provider Name | Carl Kueffer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588172803 PECOS PAC ID: 3476095977 Enrollment ID: I20240612002286 |
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