| Tara Frances Wilson, | |
|
287 Springs Fireplace Rd, East Hampton, NY 11937-4823 | |
| (631) 329-0373 | |
| Not Available |
| Full Name | Tara Frances Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 287 Springs Fireplace Rd, East Hampton, 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 |
|---|---|---|---|
| 1487292249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 014841 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Che Senior Psychological Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429 |
| Entity Name | Knapp Street Psychiatry, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Frances Wilson, 287 Springs Fireplace Rd, East Hampton, NY 11937-4823 Ph: (631) 329-0373 | Tara Frances Wilson, 287 Springs Fireplace Rd, East Hampton, NY 11937-4823 Ph: (631) 329-0373 |
Dr. Rebecca E Disunno, PHD,RNCS,LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Buell Ln, East Hampton, NY 11937 Phone: 631-329-1486 | |
Natalie Meisinger, LIMITED-PERMIT MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Accabonac Rd, East Hampton, NY 11937 Phone: 631-324-3344 Fax: 631-324-6709 | |
Prof. Kenshasa Shabaka, MENTAL HEALTH CONSUL Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Cosdrew Ln # Ny11937, East Hampton, NY 11937 Phone: 917-751-1751 Fax: 718-399-7427 | |
Michelle Dantes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Nw Landing Rd, East Hampton, NY 11937 Phone: 631-831-1296 | |
Catherine Ann Bopp, CASAC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 287 Springs Fireplace Rd, East Hampton, NY 11937 Phone: 631-329-0373 Fax: 718-210-3410 | |
Christine Rossman Weinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 46 Newtown Ln Ste 2, East Hampton, NY 11937 Phone: 631-527-7089 | |
Ms. Jocelynn Emily Thommen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Accabonac Rd, East Hampton, NY 11937 Phone: 631-324-3344 |