| Albany Medical College Dept Of Psychiatry | |
|
47 New Scotland Ave Mc 164 Albany NY 12208-3412 | |
| (518) 262-5756 | |
| (518) 262-6111 |
| Full Name | Albany Medical College Dept Of Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 47 New Scotland Ave, Albany, New York |
| Authorized Official Name and Position | Vincent P Verdile (DEAN) |
| Authorized Official Contact | 5182626008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albany Medical College Dept Of Psychiatry 1275 Broadway # Mc106 Menands NY 12204-2638 Ph: (518) 262-9705 | Albany Medical College Dept Of Psychiatry 47 New Scotland Ave Mc 164 Albany NY 12208-3412 Ph: (518) 262-5756 |
| NPI Number | 1447284328 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Medicare PECOS PAC ID | 1759293111 |
|---|---|
| Medicare Enrollment ID | O20040517000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447284328 | NPI | - | NPPES |
| 01708878 | Medicaid | NY | |
| 9766804 | Medicaid | MA | |
| 01520676 | Medicaid | NY | |
| 1006966 | Medicaid | VT |
| Provider Name | Pankaj Kishore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770576753 PECOS PAC ID: 4183619026 Enrollment ID: I20040419001271 |
| Provider Name | Waqar Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699840314 PECOS PAC ID: 4587649090 Enrollment ID: I20040621000172 |
| Provider Name | Jeffrey S Winseman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285621607 PECOS PAC ID: 2567458656 Enrollment ID: I20040803000278 |
| Provider Name | Steven M Kam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508981416 PECOS PAC ID: 8123094398 Enrollment ID: I20040908001461 |
| Provider Name | Christopher Burky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043330970 PECOS PAC ID: 8729054929 Enrollment ID: I20040909000074 |
| Provider Name | Olanrewaju Somorin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679661979 PECOS PAC ID: 1557324852 Enrollment ID: I20041108000914 |
| Provider Name | Jeffrey D Delisle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629045802 PECOS PAC ID: 5294729505 Enrollment ID: I20050510000883 |
| Provider Name | Robin B Tassinari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366438541 PECOS PAC ID: 0840298469 Enrollment ID: I20061115000091 |
| Provider Name | Angelo A Potenciano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598798308 PECOS PAC ID: 1658468798 Enrollment ID: I20071106000378 |
| Provider Name | Robert O Hubbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528255312 PECOS PAC ID: 6103913272 Enrollment ID: I20071107000239 |
| Provider Name | Paul Jayson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124210927 PECOS PAC ID: 3971684846 Enrollment ID: I20080116000742 |
| Provider Name | Isabella Kanellopoulou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245354083 PECOS PAC ID: 4981782810 Enrollment ID: I20080417000546 |
| Provider Name | Jay W Carruthers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801820568 PECOS PAC ID: 4284716028 Enrollment ID: I20080820000505 |
| Provider Name | Bianca Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780717447 PECOS PAC ID: 7911068176 Enrollment ID: I20090324000051 |
| Provider Name | Marissa L Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20101014000963 |
| Provider Name | Steven B Sandler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780679522 PECOS PAC ID: 4789879875 Enrollment ID: I20101115001024 |
| Provider Name | Moddy H Kiluvia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922073261 PECOS PAC ID: 4486849411 Enrollment ID: I20101116000427 |
| Provider Name | Portia L Pieterse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194035030 PECOS PAC ID: 4082893524 Enrollment ID: I20110128000938 |
| Provider Name | Donna W Newsome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164593984 PECOS PAC ID: 4284811902 Enrollment ID: I20110607000267 |
| Provider Name | Khalid A Elnagar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013179654 PECOS PAC ID: 5799955951 Enrollment ID: I20110825000059 |
| Provider Name | Benjamin Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437439593 PECOS PAC ID: 2860664810 Enrollment ID: I20111017000519 |
| Provider Name | Mark R Lukowitsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659620953 PECOS PAC ID: 4183874332 Enrollment ID: I20121024000049 |
| Provider Name | Christopher J Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720149404 PECOS PAC ID: 3375794118 Enrollment ID: I20121105000007 |
| Provider Name | Nicole Marie Bromley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144651787 PECOS PAC ID: 0446482079 Enrollment ID: I20140415000722 |
| Provider Name | Nabil Karroum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104985118 PECOS PAC ID: 0749185973 Enrollment ID: I20140508000676 |
| Provider Name | Amanda J Crosier-riffle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033345004 PECOS PAC ID: 5597982017 Enrollment ID: I20140807000221 |
| Provider Name | Jennifer M Yager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043536451 PECOS PAC ID: 9638398639 Enrollment ID: I20140923001993 |
| Provider Name | Shaina I Bernardi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265841910 PECOS PAC ID: 6709108731 Enrollment ID: I20141203000065 |
| Provider Name | Angela Adger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174859151 PECOS PAC ID: 8921281395 Enrollment ID: I20150422000936 |
| Provider Name | Elyssa Barron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851670186 PECOS PAC ID: 3779897871 Enrollment ID: I20150803002328 |
| Provider Name | Hanan Mursi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356500250 PECOS PAC ID: 5991010191 Enrollment ID: I20150818003562 |
| Provider Name | Lawrence A. Maayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316143480 PECOS PAC ID: 3577872019 Enrollment ID: I20151022002286 |
| Provider Name | Warren Wallis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306948757 PECOS PAC ID: 9133422231 Enrollment ID: I20160125000072 |
| Provider Name | Igor Epstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831453752 PECOS PAC ID: 2365686524 Enrollment ID: I20160223000284 |
| Provider Name | Omer Haroon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972855104 PECOS PAC ID: 0547565970 Enrollment ID: I20160223002660 |
| Provider Name | Anne Kwon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720378110 PECOS PAC ID: 9638476674 Enrollment ID: I20160318000894 |
| Provider Name | Ijeoma Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306104518 PECOS PAC ID: 8527365741 Enrollment ID: I20160401000566 |
| Provider Name | Vicky Chodha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366884751 PECOS PAC ID: 3577853522 Enrollment ID: I20160602001722 |
| Provider Name | Adam Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528470820 PECOS PAC ID: 8325326408 Enrollment ID: I20161024002458 |
| Provider Name | Michelle Dana Marella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215290176 PECOS PAC ID: 0143509836 Enrollment ID: I20161121001889 |
| Provider Name | Amy Marie Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700268695 PECOS PAC ID: 4789965989 Enrollment ID: I20161230000996 |
| Provider Name | Gregory Blimling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366987075 PECOS PAC ID: 2264716968 Enrollment ID: I20170224000078 |
| Provider Name | Suzanne H Sumida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902982515 PECOS PAC ID: 3577554625 Enrollment ID: I20170627003262 |
| Provider Name | Alexandra Riccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093954646 PECOS PAC ID: 4789954223 Enrollment ID: I20170717002290 |
| Provider Name | Victoria L Balkoski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881784767 PECOS PAC ID: 9830461110 Enrollment ID: I20170822000179 |
| Provider Name | Tri V Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760825897 PECOS PAC ID: 4284907429 Enrollment ID: I20170908002715 |
| Provider Name | John P Casas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275732323 PECOS PAC ID: 1456627488 Enrollment ID: I20171019000580 |
| Provider Name | Sandra L Horn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457879348 PECOS PAC ID: 1456617711 Enrollment ID: I20171102002390 |
| Provider Name | Beth K O'malley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255644092 PECOS PAC ID: 0446516108 Enrollment ID: I20171113002398 |
| Provider Name | Paul Haley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295724755 PECOS PAC ID: 4385623131 Enrollment ID: I20171116000818 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20180814003415 |
| Provider Name | Bruce F Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962445312 PECOS PAC ID: 4486903432 Enrollment ID: I20180823003093 |
| Provider Name | Shivana Naidoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366769093 PECOS PAC ID: 2062727209 Enrollment ID: I20180912001960 |
| Provider Name | Naema Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174899231 PECOS PAC ID: 9335380088 Enrollment ID: I20180919002833 |
| Provider Name | Vanessa C Laird |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891272787 PECOS PAC ID: 5698028629 Enrollment ID: I20181022001676 |
| Provider Name | Alice Jane Mckinzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720025075 PECOS PAC ID: 7012261167 Enrollment ID: I20181108002142 |
| Provider Name | Muhammad N Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609280262 PECOS PAC ID: 1658646831 Enrollment ID: I20181126003580 |
| Provider Name | William George |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295149797 PECOS PAC ID: 4082901087 Enrollment ID: I20190510001733 |
| Provider Name | Jason Lulejian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245643048 PECOS PAC ID: 8426395062 Enrollment ID: I20190517000237 |
| Provider Name | Adjoa R Smalls-mantey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275928012 PECOS PAC ID: 3678819919 Enrollment ID: I20190520002328 |
| Provider Name | Melissa Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972998862 PECOS PAC ID: 6901144666 Enrollment ID: I20190726000379 |
| Provider Name | Shannon L Harper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114454550 PECOS PAC ID: 1658705769 Enrollment ID: I20191226000778 |
| Provider Name | Roslyn Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508925090 PECOS PAC ID: 5395170153 Enrollment ID: I20200124000876 |
| Provider Name | Paula Leahey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619227972 PECOS PAC ID: 2264862283 Enrollment ID: I20200415001026 |
| Provider Name | Mark Rapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306869961 PECOS PAC ID: 4789609736 Enrollment ID: I20200818000770 |
| Provider Name | Soojae L Hollowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437591138 PECOS PAC ID: 3779718358 Enrollment ID: I20200820001265 |
| Provider Name | Lindsay A Howard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497140438 PECOS PAC ID: 6709192362 Enrollment ID: I20200831001493 |
| Provider Name | Kelsey Ann Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700249414 PECOS PAC ID: 0446598999 Enrollment ID: I20200918002456 |
| Provider Name | Usman Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639533276 PECOS PAC ID: 0244658102 Enrollment ID: I20201014000631 |
| Provider Name | Oluwatobiloba Odunsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154772986 PECOS PAC ID: 3779861802 Enrollment ID: I20201021001037 |
| Provider Name | Zahra Naqvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568881423 PECOS PAC ID: 8628313566 Enrollment ID: I20201103001653 |
| Provider Name | Tamara Anne Lazenby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508988494 PECOS PAC ID: 9032534037 Enrollment ID: I20201109001380 |
| Provider Name | Kristin Borreggine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700293834 PECOS PAC ID: 7719105006 Enrollment ID: I20201112000798 |
| Provider Name | Topaz Sampson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760878441 PECOS PAC ID: 7012328412 Enrollment ID: I20201116000804 |
| Provider Name | Jean Gauvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689801912 PECOS PAC ID: 6002066909 Enrollment ID: I20201201003136 |
| Provider Name | Kathryn M Hagen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912387606 PECOS PAC ID: 4688085293 Enrollment ID: I20201202001685 |
| Provider Name | Morgun Elliot Custer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356726202 PECOS PAC ID: 0840601464 Enrollment ID: I20201202002178 |
| Provider Name | Lila Bingham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346684883 PECOS PAC ID: 5294166641 Enrollment ID: I20201203000887 |
| Provider Name | Chijioke Nnanna Egbujo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164601548 PECOS PAC ID: 9830484005 Enrollment ID: I20201203002145 |
| Provider Name | Mark D Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20201211001086 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20201222000569 |
| Provider Name | Bernadette Abeel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710657986 PECOS PAC ID: 2860882305 Enrollment ID: I20211124000875 |
| Provider Name | Amel Badr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262904 PECOS PAC ID: 8820156466 Enrollment ID: I20211203001426 |
| Provider Name | John Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457606428 PECOS PAC ID: 1759775190 Enrollment ID: I20220228002130 |
| Provider Name | Vasudha Nekkanti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811414816 PECOS PAC ID: 3173869724 Enrollment ID: I20220302000070 |
| Provider Name | Aum Amar Pathare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215225594 PECOS PAC ID: 7911211537 Enrollment ID: I20220315002127 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295851285 PECOS PAC ID: 2769864784 Enrollment ID: I20220808000107 |
| Provider Name | Megan Lieb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861953770 PECOS PAC ID: 3274866439 Enrollment ID: I20220808000499 |
| Provider Name | Megan Brown Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518251206 PECOS PAC ID: 2567692940 Enrollment ID: I20220912003496 |
| Provider Name | Ramneesh Baweja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548525413 PECOS PAC ID: 8729344874 Enrollment ID: I20221010000037 |
| Provider Name | Behnoosh Nadealizadeh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700556966 PECOS PAC ID: 9537539630 Enrollment ID: I20230106000741 |
| Provider Name | Ming Lien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588010177 PECOS PAC ID: 7719257617 Enrollment ID: I20230221002019 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20230221002980 |
| Provider Name | Marie Hasson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033152707 PECOS PAC ID: 5597776427 Enrollment ID: I20230221003104 |
| Provider Name | Vijay Phalgoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538323951 PECOS PAC ID: 9931326097 Enrollment ID: I20230227000564 |
| Provider Name | Matthew Lynx |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013147453 PECOS PAC ID: 7113145939 Enrollment ID: I20230329000248 |
| Provider Name | Kristy Quackenbush Orr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275908790 PECOS PAC ID: 2466757802 Enrollment ID: I20230417001583 |
| Provider Name | Pooja Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083077903 PECOS PAC ID: 8325386857 Enrollment ID: I20230419000062 |
| Provider Name | Dhru Desai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568991669 PECOS PAC ID: 7315303260 Enrollment ID: I20230518001173 |
| Provider Name | Matthew Carpinello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790059194 PECOS PAC ID: 2466888904 Enrollment ID: I20230601001293 |
| Provider Name | Alan S Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114284569 PECOS PAC ID: 5597082123 Enrollment ID: I20230809000087 |
| Provider Name | Connor Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639608276 PECOS PAC ID: 2264881861 Enrollment ID: I20231207002919 |
| Provider Name | Jennifer Lent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124753892 PECOS PAC ID: 1951752435 Enrollment ID: I20240109002930 |
| Provider Name | Joseph Divincenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740201425 PECOS PAC ID: 3577475649 Enrollment ID: I20240111004406 |
Tom D'agostino, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Pine West Plz Ste 512, Albany, NY 12205 Phone: 914-438-3991 | |
Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 South Manning Blvd, Suite 6512, Albany, NY 12208 Phone: 518-525-1304 | |
Threat Assessment & Risk Management Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Western Ave, Albany, NY 12203 Phone: 518-439-2379 | |
Rainbow Access Initiative Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Colvin Ave Ste 102, Albany, NY 12206 Phone: 518-438-2222 | |
Evelyn Karpel, Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 Madison Ave Ste 202, Albany, NY 12208 Phone: 518-217-5742 | |
Case Management Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Green Street, Albany, NY 12202 Phone: 518-447-4550 Fax: 518-447-2045 | |
National Alliance On Mental Illness-new York State Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Pine St, Suite 105, Albany, NY 12207 Phone: 518-462-2000 |