| Ubmd Psychiatry | |
|
462 Grider St Ecmc, Room 1168 Buffalo NY 14215-3021 | |
| (716) 898-4884 | |
| (716) 898-4447 |
| Full Name | Ubmd Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 462 Grider St, Buffalo, New York |
| Authorized Official Name and Position | Janet Richter (ASSISTANT BILLING MANAGER) |
| Authorized Official Contact | 7168984884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubmd Psychiatry 462 Grider St Ecmc, Room 1168 Buffalo NY 14215-3021 Ph: (716) 898-4884 | Ubmd Psychiatry 462 Grider St Ecmc, Room 1168 Buffalo NY 14215-3021 Ph: (716) 898-4884 |
| NPI Number | 1588743702 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 3375442056 |
|---|---|
| Medicare Enrollment ID | O20031231000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588743702 | NPI | - | NPPES |
| 01398338 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Wonhoon Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114925088 PECOS PAC ID: 5991604688 Enrollment ID: I20040225000065 |
| Provider Name | Seung-kyoon Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700813169 PECOS PAC ID: 3971562836 Enrollment ID: I20041006000797 |
| Provider Name | Alfonso R Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134296171 PECOS PAC ID: 6608828173 Enrollment ID: I20050214000158 |
| Provider Name | Linda F Pessar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952370884 PECOS PAC ID: 3274586235 Enrollment ID: I20050302000235 |
| Provider Name | David L Kaye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043378862 PECOS PAC ID: 2264331958 Enrollment ID: I20050620000744 |
| Provider Name | John M Improta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124182431 PECOS PAC ID: 5092744904 Enrollment ID: I20050811000223 |
| Provider Name | Elisabeth F Mashinic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376682989 PECOS PAC ID: 7113957317 Enrollment ID: I20050817000659 |
| Provider Name | Hong Yu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285760819 PECOS PAC ID: 1658341540 Enrollment ID: I20051025000461 |
| Provider Name | Victoria L Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578590022 PECOS PAC ID: 5092719641 Enrollment ID: I20060913000110 |
| Provider Name | Dori R Marshall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659301026 PECOS PAC ID: 4587669742 Enrollment ID: I20060921000131 |
| Provider Name | Holly B Mutton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962431601 PECOS PAC ID: 5395845283 Enrollment ID: I20070706000258 |
| Provider Name | Bruce D Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922187293 PECOS PAC ID: 3375612492 Enrollment ID: I20080515000380 |
| Provider Name | Belito J Arana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093895955 PECOS PAC ID: 8123039906 Enrollment ID: I20080711000379 |
| Provider Name | Kara L Mccunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609983584 PECOS PAC ID: 3577568005 Enrollment ID: I20081020000310 |
| Provider Name | Yogesh D Bakhai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649246521 PECOS PAC ID: 0446159131 Enrollment ID: I20081027000685 |
| Provider Name | Michael T Guppenberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912169681 PECOS PAC ID: 2769536788 Enrollment ID: I20090811000016 |
| Provider Name | Ana N Cervantes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447272547 PECOS PAC ID: 1658425483 Enrollment ID: I20090813000419 |
| Provider Name | Haidee I Pidor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801956321 PECOS PAC ID: 4082754445 Enrollment ID: I20091215000376 |
| Provider Name | Ralph Benedict |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669437646 PECOS PAC ID: 2466588611 Enrollment ID: I20100327000180 |
| Provider Name | Raphael J Leo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063488062 PECOS PAC ID: 7012043102 Enrollment ID: I20100329000036 |
| Provider Name | Sergio Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932343720 PECOS PAC ID: 0840323192 Enrollment ID: I20100806000287 |
| Provider Name | Cynthia A Pristach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821036625 PECOS PAC ID: 4284827213 Enrollment ID: I20101021001227 |
| Provider Name | Balwant S Nagra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639354848 PECOS PAC ID: 8820260946 Enrollment ID: I20111017000046 |
| Provider Name | Maria L Oliveira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306092556 PECOS PAC ID: 8820258478 Enrollment ID: I20120320000262 |
| Provider Name | Vinayak S Gokhale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508832403 PECOS PAC ID: 1153582960 Enrollment ID: I20120420000510 |
| Provider Name | Biswarup Manojkumar Ghosh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730333857 PECOS PAC ID: 9436313715 Enrollment ID: I20120618000502 |
| Provider Name | Michael S Adragna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801020581 PECOS PAC ID: 0941457972 Enrollment ID: I20120828000019 |
| Provider Name | Annemarie L Mikowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336383041 PECOS PAC ID: 0749430437 Enrollment ID: I20121015000232 |
| Provider Name | Devinalini Misir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073713251 PECOS PAC ID: 0042462228 Enrollment ID: I20121215000036 |
| Provider Name | Sarah L Otwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073956603 PECOS PAC ID: 6103055793 Enrollment ID: I20140130001309 |
| Provider Name | Sourav Sengupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679737290 PECOS PAC ID: 2961626148 Enrollment ID: I20140609001255 |
| Provider Name | Matthew L Ruggieri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639304785 PECOS PAC ID: 9032336615 Enrollment ID: I20140805001089 |
| Provider Name | Rebecca L Schaeffer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437312683 PECOS PAC ID: 1456578657 Enrollment ID: I20140812001903 |
| Provider Name | Joshna Md Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922313113 PECOS PAC ID: 7810115656 Enrollment ID: I20140820001282 |
| Provider Name | Pamela A Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013056829 PECOS PAC ID: 6002138989 Enrollment ID: I20141203001871 |
| Provider Name | Pamela Almeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881078004 PECOS PAC ID: 6204143373 Enrollment ID: I20150922002361 |
| Provider Name | Laura Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437419165 PECOS PAC ID: 9739475211 Enrollment ID: I20160909000143 |
| Provider Name | Hannah R Lapides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184172223 PECOS PAC ID: 7214216241 Enrollment ID: I20161116000302 |
| Provider Name | Tawni A Frank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366450736 PECOS PAC ID: 1850337239 Enrollment ID: I20161130001958 |
| Provider Name | Joshua S Russell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275891046 PECOS PAC ID: 0143592865 Enrollment ID: I20170815004382 |
| Provider Name | Lauren Derhodge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336406248 PECOS PAC ID: 2163783879 Enrollment ID: I20180220002696 |
| Provider Name | William E Boggiano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609110113 PECOS PAC ID: 6204159338 Enrollment ID: I20180326002739 |
| Provider Name | Rebecca Hicks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750725610 PECOS PAC ID: 0648533323 Enrollment ID: I20180410002774 |
| Provider Name | Jessica Bortel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780028621 PECOS PAC ID: 6406119973 Enrollment ID: I20180416000502 |
| Provider Name | Sarah Gibbons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841548245 PECOS PAC ID: 7911244546 Enrollment ID: I20190121000901 |
| Provider Name | Abigail S Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508251497 PECOS PAC ID: 0446582001 Enrollment ID: I20191031000298 |
| Provider Name | Charles T Camp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699138057 PECOS PAC ID: 2961749072 Enrollment ID: I20200806003455 |
| Provider Name | Shaily Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619409448 PECOS PAC ID: 3870866429 Enrollment ID: I20221026002055 |
Village Psychology Group, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2969 Main St Ste 400, Buffalo, NY 14214 Phone: 716-341-4740 | |
Academic Health Psychology Associates, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Room G208, Buffalo, NY 14215 Phone: 716-898-5671 Fax: 716-898-3040 | |
Bestself Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Niagara St, Lower West Side Counseling, Buffalo, NY 14213 Phone: 716-842-0440 Fax: 716-842-4069 | |
Danielle Stoner, Lcsw, Pmh-c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Commonwealth Ave, Buffalo, NY 14216 Phone: 716-218-8413 | |
Phoenix Mental Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Clinton St, Buffalo, NY 14206 Phone: 716-380-2129 | |
Theodore Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 Main St Rm 1083, Buffalo, NY 14203 Phone: 716-517-4297 Fax: 716-259-9035 | |
Maria Parker Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 381 Kenmore Ave, Buffalo, NY 14223 Phone: 716-445-8337 |