| Behavioral Healthcare Of Ny | |
|
465 Broadway Kingston NY 12401-4627 | |
| (845) 340-0244 | |
| (845) 340-0141 |
| Full Name | Behavioral Healthcare Of Ny |
|---|---|
| Speciality | Social Worker |
| Location | 465 Broadway, Kingston, New York |
| Authorized Official Name and Position | Carmel L Gold (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8453400244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Healthcare Of Ny 465 Broadway Kingston NY 12401-4627 Ph: (845) 340-0244 | Behavioral Healthcare Of Ny 465 Broadway Kingston NY 12401-4627 Ph: (845) 340-0244 |
| NPI Number | 1881757896 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 02/04/2015 |
| Medicare PECOS PAC ID | 2466342894 |
|---|---|
| Medicare Enrollment ID | O20040318000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881757896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Regina F Packard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538231279 PECOS PAC ID: 8022003052 Enrollment ID: I20040419000459 |
| Provider Name | Carmel L Gold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700994514 PECOS PAC ID: 3971580671 Enrollment ID: I20040701000092 |
| Provider Name | Barbara J Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447360995 PECOS PAC ID: 4880630292 Enrollment ID: I20050707000125 |
| Provider Name | Barbara A Glick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740390145 PECOS PAC ID: 5799711768 Enrollment ID: I20050711000830 |
| Provider Name | Bruce S Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497917835 PECOS PAC ID: 1951460252 Enrollment ID: I20081031000136 |
| Provider Name | Kerren Bitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144619552 PECOS PAC ID: 3678835154 Enrollment ID: I20180321000883 |
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