| Wise Mind Psychological Services P.l.l.c. | |
|
3330 Park Ave Wantagh NY 11793-3719 | |
| (516) 740-1950 | |
| Not Available |
| Full Name | Wise Mind Psychological Services P.l.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3330 Park Ave, Wantagh, New York |
| Authorized Official Name and Position | Rachel M. Bowley (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5162500980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Psychological Services P.l.l.c. 1800 Gormley Ave Merrick NY 11566-3009 Ph: (516) 250-0980 | Wise Mind Psychological Services P.l.l.c. 3330 Park Ave Wantagh NY 11793-3719 Ph: (516) 740-1950 |
| NPI Number | 1598237158 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Medicare PECOS PAC ID | 1254672025 |
|---|---|
| Medicare Enrollment ID | O20190403002177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598237158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rachel Mae Bowley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720337116 PECOS PAC ID: 2163763939 Enrollment ID: I20190403002259 |
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