| Upstate Psychiatry, Pc | |
|
3070 Belgium Rd Baldwinsville NY 13027-9239 | |
| (315) 638-0979 | |
| (315) 638-0835 |
| Full Name | Upstate Psychiatry, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3070 Belgium Rd, Baldwinsville, New York |
| Authorized Official Name and Position | Adekola O Alao (PSYCHIATRIST) |
| Authorized Official Contact | 3156380979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Psychiatry, Pc 3070 Belgium Rd Baldwinsville NY 13027-9239 Ph: (315) 638-0979 | Upstate Psychiatry, Pc 3070 Belgium Rd Baldwinsville NY 13027-9239 Ph: (315) 638-0979 |
| NPI Number | 1184170821 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/18/2019 |
| Medicare PECOS PAC ID | 0446532881 |
|---|---|
| Medicare Enrollment ID | O20170120000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184170821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2134081 (New York) | Primary |
| Provider Name | Adekola O Alao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265457196 PECOS PAC ID: 3476443383 Enrollment ID: I20040316000744 |
| Provider Name | Jennifer L Bordonaro-benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487723045 PECOS PAC ID: 7113938101 Enrollment ID: I20060504000986 |
| Provider Name | Heidi Kinnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245512284 PECOS PAC ID: 8022394188 Enrollment ID: I20170404002474 |
Gregg A Heffner, Lcsw-r Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Oswego St, Baldwinsville, NY 13027 Phone: 315-415-9795 | |
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Upstate Psychiatric Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3070 Belgium Rd, Baldwinsville, NY 13027 Phone: 315-638-0835 Fax: 315-216-6812 | |
Sage In Time Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Theodolite Dr, Baldwinsville, NY 13027 Phone: 315-743-8050 | |
Jws Licensed Marriage And Family Therapist, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3070 Belgium Rd, Baldwinsville, NY 13027 Phone: 315-857-3035 Fax: 315-720-1171 | |
Audrey Tyszka, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44 Oswego St, Baldwinsville, NY 13027 Phone: 315-703-2839 |