| Catholic Charities Of The Diocese Of Rockville Centre | |
|
9 4th Ave Bay Shore NY 11706-7908 | |
| (631) 665-6707 | |
| Not Available |
| Full Name | Catholic Charities Of The Diocese Of Rockville Centre |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 4th Ave, Bay Shore, New York |
| Authorized Official Name and Position | Richard Balcom (CFO) |
| Authorized Official Contact | 5167337032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Diocese Of Rockville Centre 90 Cherry Ln Hicksville NY 11801-6232 Ph: (516) 733-7040 | Catholic Charities Of The Diocese Of Rockville Centre 9 4th Ave Bay Shore NY 11706-7908 Ph: (631) 665-6707 |
| NPI Number | 1124034558 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 03/31/2017 |
| Medicare PECOS PAC ID | 9436137908 |
|---|---|
| Medicare Enrollment ID | O20040721000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124034558 | NPI | - | NPPES |
| 6814100A | Other | NY | OMH OPERATING CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6814100A (New York) | Primary |
| Provider Name | Maureen Crowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346324209 PECOS PAC ID: 3173518222 Enrollment ID: I20040417000393 |
| Provider Name | Micheale Marie Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518040096 PECOS PAC ID: 7113991712 Enrollment ID: I20040820000226 |
| Provider Name | Krista Ann Hoefling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114041753 PECOS PAC ID: 8628029436 Enrollment ID: I20050208001097 |
| Provider Name | Nona J Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295795581 PECOS PAC ID: 1658312996 Enrollment ID: I20050518000026 |
| Provider Name | Martha M Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578646055 PECOS PAC ID: 4981708872 Enrollment ID: I20070403000104 |
| Provider Name | Charlene P Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598898587 PECOS PAC ID: 1759486574 Enrollment ID: I20070423000425 |
| Provider Name | Jean M Schult |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982756938 PECOS PAC ID: 6800987405 Enrollment ID: I20070811000008 |
| Provider Name | Kamil I Jaghab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447212998 PECOS PAC ID: 6305994484 Enrollment ID: I20090429000232 |
| Provider Name | Bruce K Darroch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568612158 PECOS PAC ID: 5991821399 Enrollment ID: I20100922001093 |
| Provider Name | Patricia A Volpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386761658 PECOS PAC ID: 0143408385 Enrollment ID: I20110617000209 |
| Provider Name | Anthony A Pelosi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215221858 PECOS PAC ID: 7012195175 Enrollment ID: I20110621000327 |
| Provider Name | Francis P Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457548257 PECOS PAC ID: 6800067547 Enrollment ID: I20110929000069 |
| Provider Name | Isabel M Tolentino-mirasol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255442703 PECOS PAC ID: 6608053814 Enrollment ID: I20120402000036 |
| Provider Name | Patricia J Meade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649557380 PECOS PAC ID: 7719134089 Enrollment ID: I20120822000456 |
| Provider Name | Theresa Marie Procida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255637328 PECOS PAC ID: 3173758349 Enrollment ID: I20131023001366 |
| Provider Name | Suzanne M Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497026421 PECOS PAC ID: 3375764095 Enrollment ID: I20141022001656 |
| Provider Name | Maryellen Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609930015 PECOS PAC ID: 1759609688 Enrollment ID: I20150406000602 |
| Provider Name | Carline Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841480852 PECOS PAC ID: 9133448699 Enrollment ID: I20150505000779 |
| Provider Name | Keith Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720305220 PECOS PAC ID: 3375858764 Enrollment ID: I20150813011308 |
| Provider Name | Mitchel W Eisenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568792430 PECOS PAC ID: 5395046601 Enrollment ID: I20151210001253 |
| Provider Name | Laura Fanning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922421791 PECOS PAC ID: 9830440288 Enrollment ID: I20180924002118 |
| Provider Name | Megan E O'shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306350525 PECOS PAC ID: 0244633113 Enrollment ID: I20210729002544 |
| Provider Name | Lauren Tableman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821423674 PECOS PAC ID: 2860857745 Enrollment ID: I20230427002596 |
Jean Bacon Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 83 E Main St, Bay Shore, NY 11706 Phone: 631-666-5067 Fax: 631-593-5472 | |
Long Island Neurology,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 E Main St, Suite 1, Bay Shore, NY 11706 Phone: 631-666-4767 Fax: 631-665-2153 | |
H. Tad Troutman, Ph.d., Psychologist, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Brentwood Rd, Suite 2, Bay Shore, NY 11706 Phone: 631-968-7700 | |
Stillwater Therapy Lcsw P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 Union Blvd, Bay Shore, NY 11706 Phone: 631-647-7885 Fax: 631-647-7893 | |
Lynne Slovin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Admirals Dr E, Bay Shore, NY 11706 Phone: 516-810-5690 | |
Episcopal Community Services Of Long Island Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 South Country Road, Bay Shore, NY 11706 Phone: 631-665-7701 Fax: 631-665-2737 |