| Access: Supports For Living Inc | |
|
15 Fortune Road West Middletown NY 10941 | |
| (845) 692-4454 | |
| (845) 692-8887 |
| Full Name | Access: Supports For Living Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Fortune Road West, Middletown, New York |
| Authorized Official Name and Position | Amy Anderson-winchell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8456924454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access: Supports For Living Inc 15 Fortune Road West Middletown NY 10941 Ph: (845) 692-4454 | Access: Supports For Living Inc 15 Fortune Road West Middletown NY 10941 Ph: (845) 692-4454 |
| NPI Number | 1528174976 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 01/02/2015 |
| Medicare PECOS PAC ID | 8729992730 |
|---|---|
| Medicare Enrollment ID | O20031114000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528174976 | NPI | - | NPPES |
| 00911188 | Medicaid | NY | |
| 4576169 | Other | AETNA INSURANCE | |
| 110132500 | Other | ACS | |
| 01324730 | Medicaid | NY | |
| 7025098 | Other | AETNA INSURANCE | |
| 7686768 | Other | AETNA INSURANCE | |
| 965762A | Other | MVP INSURANCE | |
| 01189019 | Medicaid | NY | |
| 02170203 | Medicaid | NY | |
| 319122299 | Other | GHI VALUE OPTIONS | |
| 1018450 | Other | BEACON HEALTH INS COMPANY | |
| 00275085 | Medicaid | NY | |
| 7209729 | Other | AETNA INSURANCE | |
| 7360125 | Other | AETNA INSURANCE | |
| 965762 | Other | MVP INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Abdul Qayyum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588716559 PECOS PAC ID: 3678487220 Enrollment ID: I20031118000153 |
| Provider Name | Khin M Soe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548247596 PECOS PAC ID: 4981680493 Enrollment ID: I20040625000665 |
| Provider Name | Lalitha Chandrasekhara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255477782 PECOS PAC ID: 1355329145 Enrollment ID: I20040708001252 |
| Provider Name | Salil Kathpalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295875714 PECOS PAC ID: 9133107220 Enrollment ID: I20040713001676 |
| Provider Name | Olanrewaju Somorin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679661979 PECOS PAC ID: 1557324852 Enrollment ID: I20041108000914 |
| Provider Name | Vince Popesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073560082 PECOS PAC ID: 2567413594 Enrollment ID: I20050207000672 |
| Provider Name | Nnamdi Emd Maduekwe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659424398 PECOS PAC ID: 1254370802 Enrollment ID: I20050503000456 |
| Provider Name | Masum Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518986454 PECOS PAC ID: 8022030550 Enrollment ID: I20051228000293 |
| Provider Name | Mahmood Mehdi Kazmi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669438875 PECOS PAC ID: 6305869280 Enrollment ID: I20060105000810 |
| Provider Name | John Bennett Ii |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417914995 PECOS PAC ID: 6406865989 Enrollment ID: I20060411000496 |
| Provider Name | Young J Shin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447220884 PECOS PAC ID: 5698785079 Enrollment ID: I20060429000000 |
| Provider Name | Julius J Laguerre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306838172 PECOS PAC ID: 5698772804 Enrollment ID: I20061101000206 |
| Provider Name | Ann Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588689970 PECOS PAC ID: 2769480656 Enrollment ID: I20061202000029 |
| Provider Name | Tanya Lanette Merritts Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730284571 PECOS PAC ID: 9436251279 Enrollment ID: I20070224000059 |
| Provider Name | Galina Bass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619076486 PECOS PAC ID: 4587766944 Enrollment ID: I20070303000071 |
| Provider Name | Diana Noger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568508075 PECOS PAC ID: 4789789686 Enrollment ID: I20070423000148 |
| Provider Name | Linda M Certo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013926864 PECOS PAC ID: 0244337640 Enrollment ID: I20070519000048 |
| Provider Name | Vicki L O Brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578582813 PECOS PAC ID: 2668579962 Enrollment ID: I20070522000189 |
| Provider Name | Susan Spater-zimmerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770644007 PECOS PAC ID: 6507963758 Enrollment ID: I20070522000711 |
| Provider Name | Melissa Swain Goodemote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124117403 PECOS PAC ID: 7618068297 Enrollment ID: I20070810000661 |
| Provider Name | Muthaiah Chandrasekhara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225178569 PECOS PAC ID: 7618062597 Enrollment ID: I20071008000263 |
| Provider Name | Alfred Sorrentino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962695809 PECOS PAC ID: 8426105305 Enrollment ID: I20090410000003 |
| Provider Name | Tameika L Hinton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831326792 PECOS PAC ID: 3274685367 Enrollment ID: I20090721000553 |
| Provider Name | Mridula Kamthan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740326263 PECOS PAC ID: 4385825181 Enrollment ID: I20110228000490 |
| Provider Name | Catherine A Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043220726 PECOS PAC ID: 8527240761 Enrollment ID: I20110309001004 |
| Provider Name | Benjamin Chukwuocha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083739817 PECOS PAC ID: 8224292701 Enrollment ID: I20120613000366 |
| Provider Name | Travis S Kipping |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144533571 PECOS PAC ID: 9739333402 Enrollment ID: I20130205000013 |
| Provider Name | Virginia Roper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538476163 PECOS PAC ID: 5395982557 Enrollment ID: I20130828000734 |
| Provider Name | Gloria P Thambirajah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891933685 PECOS PAC ID: 8527292903 Enrollment ID: I20131018001024 |
| Provider Name | Dianna Dragatsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891814711 PECOS PAC ID: 4981832706 Enrollment ID: I20140124000020 |
| Provider Name | Heather Marie Fitzharris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356692453 PECOS PAC ID: 6406075084 Enrollment ID: I20140912001344 |
| Provider Name | Yugandhar Munnangi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316913932 PECOS PAC ID: 9234158064 Enrollment ID: I20141014000100 |
| Provider Name | Maryann Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336463058 PECOS PAC ID: 4587835376 Enrollment ID: I20141024000152 |
| Provider Name | Sandra K Antoniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891992285 PECOS PAC ID: 2769709641 Enrollment ID: I20150403000011 |
| Provider Name | Maria B. Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245503580 PECOS PAC ID: 5395065072 Enrollment ID: I20150520001539 |
| Provider Name | Nancy Beth Flores-migenes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982623831 PECOS PAC ID: 4587972112 Enrollment ID: I20151001001453 |
| Provider Name | Taniesha B Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184962185 PECOS PAC ID: 8224338363 Enrollment ID: I20151123000499 |
| Provider Name | Virginia Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538476163 PECOS PAC ID: 5395982557 Enrollment ID: I20151211002306 |
| Provider Name | Laura A Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427363308 PECOS PAC ID: 4284935982 Enrollment ID: I20151223000025 |
| Provider Name | Apollo Palomares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750691457 PECOS PAC ID: 5294038337 Enrollment ID: I20160122000982 |
| Provider Name | Seena Sebastian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821432469 PECOS PAC ID: 2062717481 Enrollment ID: I20160223002362 |
| Provider Name | Sofia Georgoulias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619217619 PECOS PAC ID: 8921303967 Enrollment ID: I20160229001788 |
| Provider Name | Trissa J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598147258 PECOS PAC ID: 6901197086 Enrollment ID: I20160621000480 |
| Provider Name | Chaya Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972804649 PECOS PAC ID: 8729367792 Enrollment ID: I20161115000473 |
| Provider Name | Melissa A Ciarcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184933152 PECOS PAC ID: 4486935814 Enrollment ID: I20161227000356 |
| Provider Name | Benjamin A Margolis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770876922 PECOS PAC ID: 5597087841 Enrollment ID: I20170721000309 |
| Provider Name | Salman Abouzied |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801296090 PECOS PAC ID: 7416254438 Enrollment ID: I20170721001828 |
| Provider Name | Mary E Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225115009 PECOS PAC ID: 9436229499 Enrollment ID: I20180416001849 |
| Provider Name | Damon Tremayne Swinea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194210963 PECOS PAC ID: 6800131038 Enrollment ID: I20181217002159 |
| Provider Name | Izetta M Briggs-bolling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265751382 PECOS PAC ID: 3971840323 Enrollment ID: I20190123003857 |
| Provider Name | Jing Fang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811102072 PECOS PAC ID: 5799935318 Enrollment ID: I20190204002146 |
| Provider Name | Syed A Qamer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043536436 PECOS PAC ID: 2668772831 Enrollment ID: I20190507002301 |
| Provider Name | Analee Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518360668 PECOS PAC ID: 4789917204 Enrollment ID: I20190614000480 |
| Provider Name | Peter C Calafiura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578519211 PECOS PAC ID: 6608859897 Enrollment ID: I20190826002237 |
| Provider Name | Kandace W.l. Reece |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407142391 PECOS PAC ID: 7214226109 Enrollment ID: I20200117000531 |
| Provider Name | Nucula T Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528317393 PECOS PAC ID: 9133556962 Enrollment ID: I20200217003359 |
| Provider Name | Syeda I Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447370259 PECOS PAC ID: 7012079858 Enrollment ID: I20200417001930 |
| Provider Name | Jennifer E Povill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780031260 PECOS PAC ID: 7416388616 Enrollment ID: I20200501002297 |
| Provider Name | Alexander V Drakontaidis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487000410 PECOS PAC ID: 1557787157 Enrollment ID: I20200813000732 |
| Provider Name | Phillip H Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144332784 PECOS PAC ID: 3072553064 Enrollment ID: I20201215002115 |
| Provider Name | Laurenne A Benzenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235680273 PECOS PAC ID: 8729491964 Enrollment ID: I20210108000550 |
| Provider Name | Stephanie R Bifolco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174167662 PECOS PAC ID: 1658785241 Enrollment ID: I20210121002350 |
| Provider Name | Angelyn E Galati |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295128866 PECOS PAC ID: 6103233168 Enrollment ID: I20210318002801 |
| Provider Name | Alison M Krause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043716020 PECOS PAC ID: 9739596610 Enrollment ID: I20210319000997 |
| Provider Name | Melissa M Merlino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447763545 PECOS PAC ID: 4587071485 Enrollment ID: I20210319001818 |
| Provider Name | Jessica L Brinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457905432 PECOS PAC ID: 6709293053 Enrollment ID: I20210401002267 |
| Provider Name | Jenny Dzurica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801344031 PECOS PAC ID: 1153730932 Enrollment ID: I20210506002852 |
| Provider Name | Brian P Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205215266 PECOS PAC ID: 0749687978 Enrollment ID: I20210930000681 |
| Provider Name | Catherine Z Sendlewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780238964 PECOS PAC ID: 2062810153 Enrollment ID: I20211004001631 |
| Provider Name | Felipe E Sepulveda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982004909 PECOS PAC ID: 5799177275 Enrollment ID: I20220112002016 |
| Provider Name | Melanie D Ticehurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639785140 PECOS PAC ID: 8820481120 Enrollment ID: I20220209001842 |
| Provider Name | Kristin E Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619416989 PECOS PAC ID: 3971996125 Enrollment ID: I20220210001110 |
| Provider Name | Kaitlin Yocum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871254813 PECOS PAC ID: 1254724446 Enrollment ID: I20220211000104 |
| Provider Name | Penelope Boyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982773941 PECOS PAC ID: 7810382694 Enrollment ID: I20220314000568 |
| Provider Name | Shana Clarke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770841611 PECOS PAC ID: 4082964556 Enrollment ID: I20220322001748 |
| Provider Name | Lisa M Moranz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316461734 PECOS PAC ID: 6507252939 Enrollment ID: I20220411002155 |
| Provider Name | Katherine M Moquete Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609527944 PECOS PAC ID: 2769878081 Enrollment ID: I20220413000485 |
| Provider Name | Rebecca M Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417501578 PECOS PAC ID: 8628457843 Enrollment ID: I20220618000068 |
| Provider Name | Elissa L Pierse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114272564 PECOS PAC ID: 4880073022 Enrollment ID: I20220620000166 |
| Provider Name | Jessica Trainor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649743279 PECOS PAC ID: 6406223254 Enrollment ID: I20221108000286 |
| Provider Name | Adam Mark Cutchin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376064683 PECOS PAC ID: 5496124117 Enrollment ID: I20221219002487 |
| Provider Name | Michele R Doubrava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477895084 PECOS PAC ID: 0840663456 Enrollment ID: I20230301003000 |
| Provider Name | Matthew Wichlinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467001578 PECOS PAC ID: 2163887969 Enrollment ID: I20230501001781 |
| Provider Name | Teresa Maranzano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407403926 PECOS PAC ID: 2365808458 Enrollment ID: I20230516000458 |
| Provider Name | Andrea Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649860818 PECOS PAC ID: 4284091976 Enrollment ID: I20230612002685 |
| Provider Name | Stefanie Aluia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235783499 PECOS PAC ID: 4789043555 Enrollment ID: I20230711003745 |
| Provider Name | Kayla Marie Savely |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952976235 PECOS PAC ID: 4183075237 Enrollment ID: I20240112002454 |
| Provider Name | Adrienne T Voltaire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669075180 PECOS PAC ID: 1850742933 Enrollment ID: I20240112003418 |
| Provider Name | Frances Welsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215384797 PECOS PAC ID: 8123470119 Enrollment ID: I20240116000102 |
| Provider Name | Briana Lisa Pavia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275108334 PECOS PAC ID: 7012369028 Enrollment ID: I20240116000544 |
| Provider Name | Masae Akasofu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720476153 PECOS PAC ID: 7618329665 Enrollment ID: I20240116002006 |
| Provider Name | Karlin Dhariana Walcott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043856529 PECOS PAC ID: 9830541648 Enrollment ID: I20240117002895 |
| Provider Name | Jessica Lynn Brinkmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619506003 PECOS PAC ID: 8527410331 Enrollment ID: I20240117003005 |
| Provider Name | Michelle Anita Martell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720557986 PECOS PAC ID: 6608228200 Enrollment ID: I20240119000448 |
| Provider Name | Romona Yizar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356995302 PECOS PAC ID: 1456703826 Enrollment ID: I20240122002161 |
| Provider Name | Masha Loushana Arius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568990562 PECOS PAC ID: 5193178556 Enrollment ID: I20240201001773 |
| Provider Name | Kayla Carol Mcknight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316548993 PECOS PAC ID: 7416390398 Enrollment ID: I20240207003136 |
| Provider Name | Amanda M Parish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457979817 PECOS PAC ID: 1254774870 Enrollment ID: I20240209002665 |
| Provider Name | Danielle Conklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528724077 PECOS PAC ID: 0143663682 Enrollment ID: I20240212002343 |
| Provider Name | Narda Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952900441 PECOS PAC ID: 9537502992 Enrollment ID: I20240213002367 |
| Provider Name | Eileen Ploetz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215630793 PECOS PAC ID: 3870937345 Enrollment ID: I20240223000605 |
| Provider Name | Leeann Hejnal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780112987 PECOS PAC ID: 7719321280 Enrollment ID: I20240223000872 |
Jane V. Eason, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Orange Regional Medical Center, 60 Prospect Ave, Middletown, NY 10940 Phone: 845-343-2424 | |
Independent Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18 Orchard St, Middletown, NY 10940 Phone: 845-381-5331 Fax: 731-201-5499 | |
Jenny Q. Lu, M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Crystal Run Rd Ste 105, Middletown, NY 10941 Phone: 845-692-3542 Fax: 845-692-6939 | |
Gleneida Medical Care,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 453 Route 211 E, Middletown, NY 10940 Phone: 845-344-4040 Fax: 845-228-5485 | |
Garnet Health Doctors Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7139 | |
Crystal Run Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 236 Crystal Run Rd, Suite 2, Middletown, NY 10941 Phone: 845-692-3100 Fax: 845-692-2402 | |
Orange Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Dunning Rd, Middletown, NY 10940 Phone: 845-956-1222 |