| Ation | |
|
Suny @ Stony Brook Hsc, L10, Rm 020 Stony Brook NY 11794-0001 | |
| (631) 444-8125 | |
| Not Available |
| Full Name | Ation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | Suny @ Stony Brook, Stony Brook, New York |
| Authorized Official Name and Position | Ramin V Parsey (CHAIR PERSON) |
| Authorized Official Contact | 6314448125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ation Po Box 1554 Stony Brook NY 11790-0988 Ph: (631) 444-8125 | Ation Suny @ Stony Brook Hsc, L10, Rm 020 Stony Brook NY 11794-0001 Ph: (631) 444-8125 |
| NPI Number | 1437105905 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 05/26/2015 |
| Medicare PECOS PAC ID | 7315836731 |
|---|---|
| Medicare Enrollment ID | O20040313000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437105905 | NPI | - | NPPES |
| 01117871 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Roberto B Gil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922060110 PECOS PAC ID: 8527950831 Enrollment ID: I20040329001704 |
| Provider Name | Christopher a Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427099621 PECOS PAC ID: 8123014198 Enrollment ID: I20040423000916 |
| Provider Name | Maria J Hensley-spera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770590291 PECOS PAC ID: 7416944483 Enrollment ID: I20040429001587 |
| Provider Name | Kimberly M James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689793366 PECOS PAC ID: 8224028980 Enrollment ID: I20040514000401 |
| Provider Name | Daniel R Klages |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629096672 PECOS PAC ID: 6204807480 Enrollment ID: I20040802001511 |
| Provider Name | Richard G Timo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518079110 PECOS PAC ID: 4789626227 Enrollment ID: I20050525000585 |
| Provider Name | Matthew Douglas Gee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710971692 PECOS PAC ID: 1759325848 Enrollment ID: I20050620000694 |
| Provider Name | Leonard K. Sarro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639112121 PECOS PAC ID: 0749284941 Enrollment ID: I20060830000428 |
| Provider Name | Jonathan W Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578528667 PECOS PAC ID: 7113026550 Enrollment ID: I20070626000301 |
| Provider Name | David S Schlager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710918206 PECOS PAC ID: 6305937939 Enrollment ID: I20070810000215 |
| Provider Name | Maged S Soliman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003012436 PECOS PAC ID: 0345338059 Enrollment ID: I20071114000079 |
| Provider Name | Douglas K Hoverkamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831305507 PECOS PAC ID: 2062572936 Enrollment ID: I20081121000448 |
| Provider Name | Michael Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295756005 PECOS PAC ID: 5294738399 Enrollment ID: I20081122000055 |
| Provider Name | Mark Lerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861573289 PECOS PAC ID: 0143376269 Enrollment ID: I20090915000398 |
| Provider Name | Laura J Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235288614 PECOS PAC ID: 8820059520 Enrollment ID: I20091016000237 |
| Provider Name | Nikhil J Palekar |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1487805503 PECOS PAC ID: 8921146382 Enrollment ID: I20091105000417 |
| Provider Name | Kathleen a Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326278516 PECOS PAC ID: 1658408158 Enrollment ID: I20100414000789 |
| Provider Name | Ilana Yel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720218571 PECOS PAC ID: 7012047723 Enrollment ID: I20100607000430 |
| Provider Name | Laura J Fochtmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366482853 PECOS PAC ID: 7113110016 Enrollment ID: I20101025000152 |
| Provider Name | Judith a Crowell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912947557 PECOS PAC ID: 1052504891 Enrollment ID: I20101025000784 |
| Provider Name | Eduardo a Constantino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730122292 PECOS PAC ID: 6800089673 Enrollment ID: I20101025001148 |
| Provider Name | Filomena Buncke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306911748 PECOS PAC ID: 9335333491 Enrollment ID: I20101102001210 |
| Provider Name | Mason Chacko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932417706 PECOS PAC ID: 3173703956 Enrollment ID: I20110210001082 |
| Provider Name | Brian D Bronson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558300251 PECOS PAC ID: 3476734286 Enrollment ID: I20110228000609 |
| Provider Name | Anthony J Anzalone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124346689 PECOS PAC ID: 7810171360 Enrollment ID: I20110408000003 |
| Provider Name | Philip Pecoraro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972618205 PECOS PAC ID: 9537329305 Enrollment ID: I20120402000490 |
| Provider Name | Jill B Hindes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841466 PECOS PAC ID: 2668638891 Enrollment ID: I20120716000458 |
| Provider Name | Sean F Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134352321 PECOS PAC ID: 0648405076 Enrollment ID: I20131021000524 |
| Provider Name | Marianne W Tateosian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649403874 PECOS PAC ID: 8527286285 Enrollment ID: I20140822000385 |
| Provider Name | Lisa a Digregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174705982 PECOS PAC ID: 8820311863 Enrollment ID: I20141229000037 |
| Provider Name | Brittain L Mahaffey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760889661 PECOS PAC ID: 6709100118 Enrollment ID: I20150113000856 |
| Provider Name | Genna F Popovich Hymowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407294580 PECOS PAC ID: 6608186713 Enrollment ID: I20151102001507 |
| Provider Name | Nicole a Sandberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639546336 PECOS PAC ID: 0547567661 Enrollment ID: I20160404001846 |
| Provider Name | Adam S Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346551868 PECOS PAC ID: 5193018737 Enrollment ID: I20160720000983 |
| Provider Name | Poonamdeep K Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891085890 PECOS PAC ID: 2264727056 Enrollment ID: I20160817003007 |
| Provider Name | Benjamin Delucia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245520550 PECOS PAC ID: 1355632381 Enrollment ID: I20161004001234 |
| Provider Name | James E Swain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407838147 PECOS PAC ID: 6800817263 Enrollment ID: I20161006001215 |
| Provider Name | Lauren M Spring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699092841 PECOS PAC ID: 4284922501 Enrollment ID: I20161019000651 |
| Provider Name | Emily a Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134486830 PECOS PAC ID: 0648550608 Enrollment ID: I20161208000699 |
| Provider Name | Jodi Weinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730406786 PECOS PAC ID: 6709168560 Enrollment ID: I20170131002214 |
| Provider Name | Amanda a Gorecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649697426 PECOS PAC ID: 3870878374 Enrollment ID: I20170324000936 |
| Provider Name | Christopher Christodoulou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184155210 PECOS PAC ID: 3375829831 Enrollment ID: I20170417002016 |
| Provider Name | Patricia J Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386189686 PECOS PAC ID: 2062798390 Enrollment ID: I20170420001769 |
| Provider Name | Monica Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295196327 PECOS PAC ID: 4486926813 Enrollment ID: I20170821001266 |
| Provider Name | Lauren M Chorney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093249955 PECOS PAC ID: 9830462266 Enrollment ID: I20170907001232 |
| Provider Name | Jessica M Carbajal-sarmiento |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336479823 PECOS PAC ID: 5395979165 Enrollment ID: I20171024001460 |
| Provider Name | Debra C Reicher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144473026 PECOS PAC ID: 8224390315 Enrollment ID: I20180330000424 |
| Provider Name | Matthew J Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851710628 PECOS PAC ID: 7911260062 Enrollment ID: I20180424001739 |
| Provider Name | Kimberly a Buncke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912308883 PECOS PAC ID: 7012271695 Enrollment ID: I20180507002103 |
| Provider Name | Alexander Peguero-medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033647623 PECOS PAC ID: 5799030920 Enrollment ID: I20180612001836 |
| Provider Name | Courtney N Liebling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972922185 PECOS PAC ID: 0244587434 Enrollment ID: I20180718004117 |
| Provider Name | Samuel H Gartner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760800700 PECOS PAC ID: 6103174974 Enrollment ID: I20180810000624 |
| Provider Name | Cynthia a Cervoni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184103491 PECOS PAC ID: 9335491869 Enrollment ID: I20181011001604 |
| Provider Name | Courtney O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821372442 PECOS PAC ID: 6406194984 Enrollment ID: I20190207001228 |
| Provider Name | Lisa N Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801365499 PECOS PAC ID: 8022343201 Enrollment ID: I20190710001811 |
| Provider Name | Jessica L Mccurdy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871159459 PECOS PAC ID: 2961730015 Enrollment ID: I20190827003051 |
| Provider Name | Saurabh Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972884856 PECOS PAC ID: 6103111992 Enrollment ID: I20190912001884 |
| Provider Name | Jimmy K Master |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164079802 PECOS PAC ID: 3173853272 Enrollment ID: I20191002001096 |
| Provider Name | Anna I Coward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467858092 PECOS PAC ID: 3476896952 Enrollment ID: I20191029002458 |
| Provider Name | Frozan F Walyzada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912352972 PECOS PAC ID: 6103258538 Enrollment ID: I20200117000453 |
| Provider Name | Chabidou Sampain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661188 PECOS PAC ID: 3971939224 Enrollment ID: I20200204001716 |
| Provider Name | Krishen Persaud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194119560 PECOS PAC ID: 4981942893 Enrollment ID: I20200820003304 |
| Provider Name | Veronica G Tapia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528403730 PECOS PAC ID: 3375887557 Enrollment ID: I20200902001299 |
| Provider Name | William R Calabrese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487054367 PECOS PAC ID: 9931528445 Enrollment ID: I20201002001048 |
| Provider Name | Michelle L Salz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194164855 PECOS PAC ID: 4082857859 Enrollment ID: I20201015003145 |
| Provider Name | Adria M Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871832972 PECOS PAC ID: 9931529633 Enrollment ID: I20201019002560 |
| Provider Name | Veronique R Deutsch-anzalone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124338017 PECOS PAC ID: 8628498326 Enrollment ID: I20201019002694 |
| Provider Name | Christopher J Graffitti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366054645 PECOS PAC ID: 9436569340 Enrollment ID: I20201104002396 |
| Provider Name | Meagan T Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760081830 PECOS PAC ID: 5991119323 Enrollment ID: I20210127000288 |
| Provider Name | Richard N Rosenthal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568513133 PECOS PAC ID: 4981906815 Enrollment ID: I20210208001412 |
| Provider Name | Kimberly Alba |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194387712 PECOS PAC ID: 5092122333 Enrollment ID: I20210401001734 |
| Provider Name | Romil Sareen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063968923 PECOS PAC ID: 5193060333 Enrollment ID: I20210618000735 |
| Provider Name | Satya K Vatti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760857510 PECOS PAC ID: 8426396565 Enrollment ID: I20210721003016 |
| Provider Name | Melissa S Rossi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932632064 PECOS PAC ID: 5496159022 Enrollment ID: I20210804002085 |
| Provider Name | Daniel J Tieman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598242208 PECOS PAC ID: 5395143200 Enrollment ID: I20211007000552 |
| Provider Name | Perpetue Emile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881983880 PECOS PAC ID: 6305237744 Enrollment ID: I20211220001524 |
| Provider Name | Laura G Germaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437624822 PECOS PAC ID: 2365837226 Enrollment ID: I20220312000029 |
| Provider Name | Andrew J Krebo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487150264 PECOS PAC ID: 3678950292 Enrollment ID: I20220519000961 |
| Provider Name | Hardeep S Jaspal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346775145 PECOS PAC ID: 9335528033 Enrollment ID: I20220627003226 |
| Provider Name | Amanda R Levinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790415636 PECOS PAC ID: 9335523828 Enrollment ID: I20220901001248 |
| Provider Name | Anissa Abi-dargham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376769729 PECOS PAC ID: 1456728666 Enrollment ID: I20221101000957 |
| Provider Name | Anne K Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205145299 PECOS PAC ID: 8628358132 Enrollment ID: I20221114002655 |
| Provider Name | Phillip J Bugbee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174250484 PECOS PAC ID: 9739557851 Enrollment ID: I20221122000512 |
| Provider Name | Christian Witherell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144948175 PECOS PAC ID: 8325417918 Enrollment ID: I20221202000956 |
| Provider Name | Saghir Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326600206 PECOS PAC ID: 8729444716 Enrollment ID: I20230517001671 |
| Provider Name | Samuel P Reinfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861952459 PECOS PAC ID: 8921337247 Enrollment ID: I20230523000763 |
| Provider Name | Mir Omer Talpur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942862800 PECOS PAC ID: 8921467689 Enrollment ID: I20230629000498 |
| Provider Name | Andrew R Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912276981 PECOS PAC ID: 4082942404 Enrollment ID: I20230713000411 |
| Provider Name | Amanda I Sukhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023538865 PECOS PAC ID: 5395107247 Enrollment ID: I20230809003823 |
| Provider Name | Vasudha Pandey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639632458 PECOS PAC ID: 4385006865 Enrollment ID: I20230815003520 |
| Provider Name | Anjali G Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902397003 PECOS PAC ID: 3971966565 Enrollment ID: I20230830000953 |
| Provider Name | Christine M Bujacich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982387163 PECOS PAC ID: 8224483128 Enrollment ID: I20231012002499 |
| Provider Name | Shirley Jiang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699457044 PECOS PAC ID: 7618323437 Enrollment ID: I20231030002388 |
| Provider Name | Jolene a Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912255415 PECOS PAC ID: 0941656516 Enrollment ID: I20231102001904 |
| Provider Name | Jack C Suriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275313165 PECOS PAC ID: 6406203884 Enrollment ID: I20231109002588 |
| Provider Name | Amanda R Oliva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457128704 PECOS PAC ID: 7214371285 Enrollment ID: I20240217000224 |
| Provider Name | Rosemarie a Montecalvo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235692559 PECOS PAC ID: 7618313453 Enrollment ID: I20240314002627 |
| Provider Name | Geoffrey M Russell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487281044 PECOS PAC ID: 2163862293 Enrollment ID: I20240506003787 |
| Provider Name | Jun H Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235766866 PECOS PAC ID: 9739622192 Enrollment ID: I20240613004287 |
| Provider Name | Adil O Sarfraz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629530605 PECOS PAC ID: 5092258160 Enrollment ID: I20240617003422 |
| Provider Name | Brendan a Beecher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700444106 PECOS PAC ID: 6204371750 Enrollment ID: I20240709003764 |
| Provider Name | Saad Wasiq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770140717 PECOS PAC ID: 4880922285 Enrollment ID: I20240719001478 |
| Provider Name | Sasha D Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114555455 PECOS PAC ID: 1254878077 Enrollment ID: I20240730000439 |
| Provider Name | Ardouin Coriolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992234942 PECOS PAC ID: 5496292328 Enrollment ID: I20240808003544 |
| Provider Name | Louise M Waters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043793094 PECOS PAC ID: 5395283659 Enrollment ID: I20240817000046 |
| Provider Name | Thomas Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306684261 PECOS PAC ID: 0547793689 Enrollment ID: I20241029001683 |
| Provider Name | Cathryn a Galanter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790991685 PECOS PAC ID: 4688010622 Enrollment ID: I20241218000510 |
| Provider Name | Melissa M Tuomi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467683698 PECOS PAC ID: 6608179114 Enrollment ID: I20250102000177 |
| Provider Name | James NP Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689400251 PECOS PAC ID: 2062933963 Enrollment ID: I20250307002297 |
| Provider Name | Rachel J Palmieri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689401895 PECOS PAC ID: 9032632518 Enrollment ID: I20250325002800 |
| Provider Name | Caitlyn S Strauss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871138057 PECOS PAC ID: 4688185523 Enrollment ID: I20250617002613 |
| Provider Name | Sangeetha Madhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215734645 PECOS PAC ID: 9234645235 Enrollment ID: I20250717002963 |
| Provider Name | Madeleine M Hardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598413056 PECOS PAC ID: 3173026846 Enrollment ID: I20250910002489 |
| Provider Name | Eric D Hand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033996996 PECOS PAC ID: 5991209488 Enrollment ID: I20250918000044 |
| Provider Name | Mara Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730609397 PECOS PAC ID: 8527563170 Enrollment ID: I20250924003385 |
| Provider Name | Amy M Schattel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619544327 PECOS PAC ID: 1254737042 Enrollment ID: I20250930001841 |
| Provider Name | Ola E Mohamed Ali |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982587085 PECOS PAC ID: 9335645043 Enrollment ID: I20251001003964 |
| Provider Name | Joanne S Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891679403 PECOS PAC ID: 2860981339 Enrollment ID: I20251027002375 |
| Provider Name | Yarden S Vitalo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902495922 PECOS PAC ID: 8921598236 Enrollment ID: I20251105003041 |
| Provider Name | Nicolette R Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023900669 PECOS PAC ID: 4789174004 Enrollment ID: I20251105003538 |
| Provider Name | Maryam M Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457151888 PECOS PAC ID: 0446740385 Enrollment ID: I20251107003307 |
| Provider Name | Amandeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710866884 PECOS PAC ID: 3375030422 Enrollment ID: I20251126002059 |
| Provider Name | Karunya Bhattacharya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407434319 PECOS PAC ID: 9032602503 Enrollment ID: I20251203001689 |
| Provider Name | Jeremy a Herschler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093996746 PECOS PAC ID: 6103989769 Enrollment ID: I20251204002683 |
| Provider Name | Michelle B Menezes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063872778 PECOS PAC ID: 4385130376 Enrollment ID: I20251229003568 |
| Provider Name | Michele Germer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306596937 PECOS PAC ID: 9234617580 Enrollment ID: I20260129000726 |
| Provider Name | Samra Shoaib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205417409 PECOS PAC ID: 0143701573 Enrollment ID: I20260224003641 |
| Provider Name | Rahul Subramanian Iyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083581250 PECOS PAC ID: 4981189412 Enrollment ID: I20260401002379 |
| Provider Name | Sasa E Vann Rubino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336829266 PECOS PAC ID: 4183199425 Enrollment ID: I20260406000304 |
| Provider Name | Brian T Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851145403 PECOS PAC ID: 0244706349 Enrollment ID: I20260416001457 |
| Provider Name | Robert R Kuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871830067 PECOS PAC ID: 8123598562 Enrollment ID: I20260527003461 |
| Provider Name | Lauren K Algerio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598611436 PECOS PAC ID: 2466925789 Enrollment ID: I20260626003177 |
George G. Fairey MD Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N Country Rd Ste 2a, Stony Brook, NY 11790 Phone: 631-689-5155 |
John G. Cottone, Psychologist, PLLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1099 N Country Rd, Suite L, Stony Brook, NY 11790 Phone: 631-941-2210 Fax: 631-941-2210 |
Department of Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794 Phone: 631-444-2599 Fax: 631-444-4743 |
Conscious Connections LCSW PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Malvern Ln, Stony Brook, NY 11790 Phone: 631-833-4693 |
Michael L Nissnbaum, Ph.d., Psychologist, P.C. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Coed Ln, Stony Brook, NY 11790 Phone: 631-737-9500 Fax: 631-737-9512 |
Stony Brook Mental Health Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2500 Nesconset Hwy Bldg 4b, Stony Brook, NY 11790 Phone: 631-903-1087 |