| Tompkins Tms, Llc | |
|
103 W Seneca St Ste 302 Ithaca NY 14850-4157 | |
| (607) 216-0532 | |
| (607) 339-0062 |
| Full Name | Tompkins Tms, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 W Seneca St Ste 302, Ithaca, New York |
| Authorized Official Name and Position | John-paul Daniel Mead (OWNER) |
| Authorized Official Contact | 6072160532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tompkins Tms, Llc 63 Hickory Cir Ithaca NY 14850-9610 Ph: (607) 379-9429 | Tompkins Tms, Llc 103 W Seneca St Ste 302 Ithaca NY 14850-4157 Ph: (607) 216-0532 |
| NPI Number | 1174383681 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 5890135198 |
|---|---|
| Medicare Enrollment ID | O20240503001669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174383681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | John Paul D Mead |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1861498602 PECOS PAC ID: 4587628300 Enrollment ID: I20041112000094 |
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