| Wellqor Psychological Services, Pc | |
|
135 Pinelawn Rd Ste 204n Melville NY 11747-3133 | |
| (844) 888-0355 | |
| Not Available |
| Full Name | Wellqor Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 135 Pinelawn Rd Ste 204n, Melville, New York |
| Authorized Official Name and Position | Paul Nussbaum (PRESIDENT) |
| Authorized Official Contact | 8448880355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellqor Psychological Services, Pc 135 Pinelawn Rd Ste 204n Melville NY 11747-3133 Ph: (844) 888-0355 | Wellqor Psychological Services, Pc 135 Pinelawn Rd Ste 204n Melville NY 11747-3133 Ph: (844) 888-0355 |
| NPI Number | 1063920841 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 1658633292 |
|---|---|
| Medicare Enrollment ID | O20180320001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063920841 | NPI | - | NPPES |
| Provider Name | Rolando T Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649288390 PECOS PAC ID: 0042284663 Enrollment ID: I20040820000375 |
| Provider Name | Glenda Paulhamus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306869359 PECOS PAC ID: 8022082197 Enrollment ID: I20040824000736 |
| Provider Name | Dorica D Nevin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063781672 PECOS PAC ID: 0749447001 Enrollment ID: I20120130000433 |
| Provider Name | Heather A Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225463987 PECOS PAC ID: 4981909397 Enrollment ID: I20160223002014 |
| Provider Name | Karen Caplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649600305 PECOS PAC ID: 5597026740 Enrollment ID: I20180302001562 |
| Provider Name | Karen Tocher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942484803 PECOS PAC ID: 7113272758 Enrollment ID: I20180621002578 |
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