| County Of Chautauqua - A Mun Corp | |
|
200 E 3rd St Ste 5 Jamestown NY 14701-5433 | |
| (716) 661-8330 | |
| (716) 661-8364 |
| Full Name | County Of Chautauqua - A Mun Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 E 3rd St Ste 5, Jamestown, New York |
| Authorized Official Name and Position | Carmelo Hernandez (DIR. OF COMM. MENTAL HYGIENE SER) |
| Authorized Official Contact | 7167534104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Chautauqua - A Mun Corp 2 Academy St Rm 201 Mayville NY 14757-1050 Ph: (716) 753-4104 | County Of Chautauqua - A Mun Corp 200 E 3rd St Ste 5 Jamestown NY 14701-5433 Ph: (716) 661-8330 |
| NPI Number | 1902897374 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 1951380633 |
|---|---|
| Medicare Enrollment ID | O20070601000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902897374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Israr A Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518925437 PECOS PAC ID: 8325143266 Enrollment ID: I20070420000344 |
| Provider Name | Carol J Ludwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023155686 PECOS PAC ID: 3173654878 Enrollment ID: I20100624000287 |
| Provider Name | Wang K Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649345349 PECOS PAC ID: 8628100419 Enrollment ID: I20100714000296 |
| Provider Name | Monir A Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740334267 PECOS PAC ID: 8527144112 Enrollment ID: I20100828000000 |
| Provider Name | Lynn Graziano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578602074 PECOS PAC ID: 0446374383 Enrollment ID: I20100831000000 |
| Provider Name | Carol Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427197946 PECOS PAC ID: 1850499674 Enrollment ID: I20101211000003 |
| Provider Name | Vivian K Gerard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386794006 PECOS PAC ID: 0749468551 Enrollment ID: I20110627000473 |
| Provider Name | Shahnawaz Meer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922261080 PECOS PAC ID: 1254501059 Enrollment ID: I20110906000440 |
| Provider Name | Susan Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689711384 PECOS PAC ID: 1153568308 Enrollment ID: I20130508000235 |
| Provider Name | Meaghan Stronz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508297581 PECOS PAC ID: 0749410918 Enrollment ID: I20140310000109 |
| Provider Name | Veronica Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801281753 PECOS PAC ID: 1355662420 Enrollment ID: I20150602001815 |
| Provider Name | Craig Robert Felton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689982316 PECOS PAC ID: 2668762287 Enrollment ID: I20160609000964 |
| Provider Name | Adelia A Sazonov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871930701 PECOS PAC ID: 3678843885 Enrollment ID: I20170720002598 |
| Provider Name | Scott Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568403624 PECOS PAC ID: 8224012596 Enrollment ID: I20170814000226 |
| Provider Name | Kristin Saunders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851779045 PECOS PAC ID: 9335483999 Enrollment ID: I20190307001052 |
| Provider Name | Brenna E Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801300017 PECOS PAC ID: 4284974189 Enrollment ID: I20190312002455 |
| Provider Name | Stewart Whitver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518448422 PECOS PAC ID: 9931447000 Enrollment ID: I20190425002200 |
| Provider Name | Amanda Rose Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871254805 PECOS PAC ID: 8820477896 Enrollment ID: I20220622000362 |
| Provider Name | Sarah Christine Titus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447722434 PECOS PAC ID: 4385015353 Enrollment ID: I20230131000049 |
| Provider Name | Tasha R Visosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134344013 PECOS PAC ID: 7416328364 Enrollment ID: I20230201000491 |
| Provider Name | Heather Lynn Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811359441 PECOS PAC ID: 6608248497 Enrollment ID: I20230203000770 |
| Provider Name | Samantha Erickson-lamb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689110751 PECOS PAC ID: 0244602910 Enrollment ID: I20230206001221 |
| Provider Name | Tamie Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497924062 PECOS PAC ID: 3678946092 Enrollment ID: I20230307000117 |
| Provider Name | Christopher Michael Conti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457738106 PECOS PAC ID: 0749647998 Enrollment ID: I20230605000900 |
Urban Mental Health Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 779 Fairmount Ave, Jamestown, NY 14701 Phone: 716-205-0325 | |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 Foote Ave., Inpatient Mental Health Unit, Jamestown, NY 14701 Phone: 716-664-8640 Fax: 716-664-8607 | |
Sali Honess-ondrey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Canterbury Rd, Jamestown, NY 14701 Phone: 716-487-1198 | |
Satish K Mongia Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Prather Ave, Jamestown, NY 14701 Phone: 716-487-1161 Fax: 716-487-1163 | |
Quantum Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Hotel Jamestown Bldg, 110 West Third Street, Suite 404, Jamestown, NY 14701 Phone: 716-640-2378 Fax: 716-720-5880 | |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Upmc Chautauqua At Wca Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 |