Wayne Behavioral Health Network | |
1519 Nye Road Lyons NY 14489 | |
(315) 946-5722 | |
(315) 946-7079 |
Full Name | Wayne Behavioral Health Network |
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Speciality | Clinic/Center |
Location | 1519 Nye Road, Lyons, New York |
Authorized Official Name and Position | James M Haitz (DIRECTOR OF COMMUNITY SERVICES) |
Authorized Official Contact | 3159465722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wayne Behavioral Health Network 1519 Nye Road Lyons NY 14489 Ph: (315) 946-5722 | Wayne Behavioral Health Network 1519 Nye Road Lyons NY 14489 Ph: (315) 946-5722 |
NPI Number | 1003824855 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 03/26/2013 |
Medicare PECOS PAC ID | 8921919994 |
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Medicare Enrollment ID | O20040505000103 |
Identifier | Type | State | Issuer |
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1003824855 | NPI | - | NPPES |
Provider Name | Kathleen S Cardegna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023138146 PECOS PAC ID: 8628963766 Enrollment ID: I20040218000452 |
Provider Name | Donna M Fladd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730262056 PECOS PAC ID: 2668448408 Enrollment ID: I20040902001424 |
Provider Name | Kelly Sandra Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861441297 PECOS PAC ID: 1759393937 Enrollment ID: I20060713000088 |
Provider Name | James M Haitz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841322948 PECOS PAC ID: 1850317538 Enrollment ID: I20070926000674 |
Provider Name | Janine Quinlan |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1396777132 PECOS PAC ID: 1951499003 Enrollment ID: I20071127000044 |
Provider Name | Kim S Bautista |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447375217 PECOS PAC ID: 9436298114 Enrollment ID: I20091210000003 |
Provider Name | Tamara Graham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700064011 PECOS PAC ID: 9931342417 Enrollment ID: I20130903000001 |
Provider Name | Iustinian Rusu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962631234 PECOS PAC ID: 6709101074 Enrollment ID: I20150207000196 |
Provider Name | Catherina G Litkei |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174934582 PECOS PAC ID: 7618295221 Enrollment ID: I20150410001848 |
Provider Name | Ronald S Yearwood |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457374423 PECOS PAC ID: 8325346935 Enrollment ID: I20160415000169 |
Provider Name | Susan M Townsend |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316117484 PECOS PAC ID: 6901190198 Enrollment ID: I20160811000031 |
Provider Name | Lisa J Pappa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508178484 PECOS PAC ID: 2668752189 Enrollment ID: I20161129001533 |
Provider Name | Patrick Gibbons |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669736039 PECOS PAC ID: 5092035972 Enrollment ID: I20170801001221 |
Provider Name | Jamie L. Castellano-gates |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285954230 PECOS PAC ID: 5294007977 Enrollment ID: I20170815002727 |
Provider Name | Joshua J Nelson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093080483 PECOS PAC ID: 5092005520 Enrollment ID: I20171101000622 |
Provider Name | M Elizabeth Rowe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083014070 PECOS PAC ID: 5395001424 Enrollment ID: I20171107000024 |
Provider Name | Charles W Morgan |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1356564868 PECOS PAC ID: 7113272352 Enrollment ID: I20180612002065 |
Provider Name | Maura Hanna |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497173728 PECOS PAC ID: 0244582138 Enrollment ID: I20181003002401 |
Provider Name | Christopher Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134457807 PECOS PAC ID: 0446674246 Enrollment ID: I20200727003144 |
Provider Name | Jarrod A Holiday |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033560131 PECOS PAC ID: 2668802976 Enrollment ID: I20210409001458 |
Provider Name | Olga Gorshkalova |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689022360 PECOS PAC ID: 6507297207 Enrollment ID: I20210413001482 |
Provider Name | Tracy Merlau |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730645623 PECOS PAC ID: 8921401340 Enrollment ID: I20210722003136 |
Provider Name | Wade E Blair |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760157424 PECOS PAC ID: 4688062052 Enrollment ID: I20211104000948 |
Provider Name | Joyce L Harmon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356715809 PECOS PAC ID: 6800286261 Enrollment ID: I20211130000628 |
Provider Name | Kylie A Harms |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023552726 PECOS PAC ID: 4486937133 Enrollment ID: I20220201000946 |
Provider Name | Christine Vieira |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063820645 PECOS PAC ID: 4082000153 Enrollment ID: I20220330001253 |
Provider Name | Alexandra Katchmar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508423906 PECOS PAC ID: 0446637979 Enrollment ID: I20220521000276 |
Provider Name | Kelesey G Wage |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629596119 PECOS PAC ID: 2668861287 Enrollment ID: I20220818000514 |
Provider Name | Cheryl J Rizzo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609368745 PECOS PAC ID: 6608243829 Enrollment ID: I20221101001596 |
Provider Name | Patricia C Ayala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326512328 PECOS PAC ID: 7214305986 Enrollment ID: I20221130002235 |
Provider Name | Cara E Elias |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154044337 PECOS PAC ID: 1951771567 Enrollment ID: I20221222002119 |
Provider Name | Lauren Angela Demarco |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336636737 PECOS PAC ID: 2365807013 Enrollment ID: I20230502001014 |
Provider Name | Kelsey S Hobart |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376100115 PECOS PAC ID: 9537556220 Enrollment ID: I20230824001434 |
Provider Name | Michael A Mackay |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689134322 PECOS PAC ID: 2961736970 Enrollment ID: I20231127000621 |
Provider Name | Molly Pulinsky |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073162335 PECOS PAC ID: 0941650105 Enrollment ID: I20231229002123 |
Wayne Behavioral Health Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7110 | |
Wayne Behavioral Health Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 | |
Wayne County Action Program, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Montezuma St, Lyons, NY 14489 Phone: 315-665-0131 Fax: 315-665-0137 |