Jill Ann Pettinger, PSYD | |
790 Lancaster St, Albany, NY 12203-1506 | |
(518) 489-4431 | |
(518) 489-5189 |
Full Name | Jill Ann Pettinger |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 790 Lancaster St, Albany, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922106608 | NPI | - | NPPES |
02204497 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 012831 (New York) | Primary |
Entity Name | Roman Catholic Diocese Of Albany Ny |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457421919 PECOS PAC ID: 3274433065 Enrollment ID: O20040109000193 |
Mailing Address | Practice Location Address |
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Jill Ann Pettinger, PSYD 790 Lancaster St, Albany, NY 12203-1506 Ph: (518) 489-4431 | Jill Ann Pettinger, PSYD 790 Lancaster St, Albany, NY 12203-1506 Ph: (518) 489-4431 |
Dr. Doreen Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5405 Fax: 518-626-5556 | |
Dr. Elizabeth Koropsak-berman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45 Holmes Dl, Albany, NY 12203 Phone: 518-487-4208 | |
Dr. Howard H Ferrin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1a Pine West Plz, Pine Bush Mental Health, Albany, NY 12205 Phone: 518-862-1665 Fax: 518-862-1668 | |
Dr. Julia Margaretha Hormes, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 260 Washington Avenue Ext Ste 101, Albany, NY 12203 Phone: 518-218-1188 | |
Joshua Garufi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-5000 | |
Phyllis Funari, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 Central Ave, Albany, NY 12210 Phone: 800-275-3243 Fax: 800-275-3671 | |
Dr. Elizabeth G Bradley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 959 Washington Ave, Albany, NY 12206 Phone: 518-618-2387 Fax: 518-813-9291 |