| Rise Life Services | |
|
901 E Main St Ste 500 Riverhead NY 11901-2680 | |
| (631) 727-6220 | |
| Not Available |
| Full Name | Rise Life Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 E Main St Ste 500, Riverhead, New York |
| Authorized Official Name and Position | Tracey Andersen (LMHC) |
| Authorized Official Contact | 6317454189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Life Services 901 E Main St Ste 508 Riverhead NY 11901-2680 Ph: (631) 727-6220 | Rise Life Services 901 E Main St Ste 500 Riverhead NY 11901-2680 Ph: (631) 727-6220 |
| NPI Number | 1912575762 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 1658762182 |
|---|---|
| Medicare Enrollment ID | O20211216002901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912575762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Diane Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194812164 PECOS PAC ID: 4284626029 Enrollment ID: I20040401000025 |
| Provider Name | Annette H Sasaki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669650206 PECOS PAC ID: 9638490048 Enrollment ID: I20150610000447 |
| Provider Name | Susan Schmid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093955569 PECOS PAC ID: 1557661816 Enrollment ID: I20151118002745 |
| Provider Name | Marie O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265955850 PECOS PAC ID: 3173886918 Enrollment ID: I20180410000630 |
| Provider Name | Kathryn Hamma Clavin-vunkannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114331410 PECOS PAC ID: 5395008007 Enrollment ID: I20180411000931 |
| Provider Name | Susan M Trees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912219841 PECOS PAC ID: 3779835335 Enrollment ID: I20181009002042 |
| Provider Name | Jennifer Scheck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568837151 PECOS PAC ID: 6406223031 Enrollment ID: I20221110001012 |
| Provider Name | Gina Fawn Caputo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598225856 PECOS PAC ID: 9830568336 Enrollment ID: I20221205002830 |
| Provider Name | Marc Etts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013463231 PECOS PAC ID: 2466804158 Enrollment ID: I20240118001058 |
| Provider Name | Philip Joseph Gape |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447932157 PECOS PAC ID: 3476991878 Enrollment ID: I20240404001197 |
| Provider Name | Cecelia M Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679295489 PECOS PAC ID: 9032550678 Enrollment ID: I20240514000211 |
Alexis Hugelmeyer, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1272 E Main St, Riverhead, NY 11901 Phone: 516-761-2500 | |
East End Endocrinology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Main Rd, Suite F, Riverhead, NY 11901 Phone: 631-288-7120 | |
Tmh Medical Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1274 E Main St, Riverhead, NY 11901 Phone: 631-284-3793 Fax: 631-729-3111 | |
Emk Quality Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Old Country Rd Ste 7, Riverhead, NY 11901 Phone: 631-830-4065 Fax: 631-830-4256 | |
Opti-healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 883 E Main St, Riverhead, NY 11901 Phone: 631-284-5500 Fax: 631-369-7421 | |
Lilly Steel Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1267 E Main St, Suite A, Riverhead, NY 11901 Phone: 631-727-7100 Fax: 631-727-6754 | |
Suffolk Primary Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 170 Old Country Rd, Riverhead, NY 11901 Phone: 631-208-4460 Fax: 631-208-4462 |