| Behavioral Health Associates, Lcsw Pc | |
|
131 Rt. 25a Suite 4 Rocky Point NY 11778 | |
| (516) 297-1847 | |
| (631) 821-1362 |
| Full Name | Behavioral Health Associates, Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 131 Rt. 25a, Rocky Point, New York |
| Authorized Official Name and Position | Sylvia C Smith (PRESIDENT) |
| Authorized Official Contact | 5162971847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Associates, Lcsw Pc 3 Whitewood Dr Rocky Point NY 11778-9323 Ph: (516) 297-1847 | Behavioral Health Associates, Lcsw Pc 131 Rt. 25a Suite 4 Rocky Point NY 11778 Ph: (516) 297-1847 |
| NPI Number | 1891209888 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Medicare PECOS PAC ID | 0143589309 |
|---|---|
| Medicare Enrollment ID | O20180115000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891209888 | NPI | - | NPPES |
| NOI101 | Other | NY | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R025937-1 (New York) | Primary |
| Provider Name | Ruthellen Trimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033178009 PECOS PAC ID: 7618038126 Enrollment ID: I20081202000759 |
| Provider Name | Eva Macdowall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003094723 PECOS PAC ID: 3173688744 Enrollment ID: I20090213000353 |
| Provider Name | Sylvia C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982779492 PECOS PAC ID: 2163611252 Enrollment ID: I20110105000209 |
| Provider Name | Peter Joseph Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316008485 PECOS PAC ID: 7416114418 Enrollment ID: I20120202000525 |
| Provider Name | Rosemarie Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336539519 PECOS PAC ID: 1850649955 Enrollment ID: I20180807000185 |
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