| 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 | O20180329001808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063920841 | NPI | - | NPPES |
| Provider Name | Thomas A Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871515262 PECOS PAC ID: 3971605155 Enrollment ID: I20070219000106 |
| Provider Name | Nadine Costantini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194024265 PECOS PAC ID: 2961686621 Enrollment ID: I20110405000705 |
| Provider Name | Kendra A Mathys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942673991 PECOS PAC ID: 2668770876 Enrollment ID: I20160420002058 |
| Provider Name | Erin Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922192699 PECOS PAC ID: 7618267758 Enrollment ID: I20160602001212 |
| Provider Name | Latisha M Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275850760 PECOS PAC ID: 1557646775 Enrollment ID: I20170330000150 |
| Provider Name | Samuel E Balla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851744403 PECOS PAC ID: 2365719424 Enrollment ID: I20170522002274 |
| Provider Name | Yuliya Viner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982062600 PECOS PAC ID: 5890063010 Enrollment ID: I20170612003015 |
| Provider Name | Natalie Reiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659781052 PECOS PAC ID: 5395003495 Enrollment ID: I20171219001487 |
| Provider Name | Lorrie Ann Workman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609005933 PECOS PAC ID: 9234491374 Enrollment ID: I20180329001151 |
| Provider Name | Joan Beth Raskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669611802 PECOS PAC ID: 5496008328 Enrollment ID: I20181023002495 |
| Provider Name | Amanda J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508080318 PECOS PAC ID: 2668530486 Enrollment ID: I20220223001448 |
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