| County Of Wayne | |
|
1519 Nye Road Lyons NY 14489 | |
| (315) 946-5722 | |
| (315) 946-7079 |
| Full Name | County Of Wayne |
|---|---|
| Speciality | Clinic/Center |
| Location | 1519 Nye Road, Lyons, New York |
| Authorized Official Name and Position | Sharon Conaty Macdougall (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Contact | 7162012518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Wayne 1519 Nye Rd Ste 110 Lyons NY 14489-9112 Ph: (315) 946-5722 | County Of Wayne 1519 Nye Road Lyons NY 14489 Ph: (315) 946-5722 |
| NPI Number | 1003824855 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 03/12/2026 |
| Certification Date | 03/12/2026 |
| Medicare PECOS PAC ID | 8921919994 |
|---|---|
| Medicare Enrollment ID | O20040505000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003824855 | NPI | - | NPPES |
| Provider Name | Kathleen S Cardegna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023138146 PECOS PAC ID: 8628963766 Enrollment ID: I20040218000452 |
| Provider Name | Donna M Fladd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730262056 PECOS PAC ID: 2668448408 Enrollment ID: I20040902001424 |
| Provider Name | Kelly Sandra Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861441297 PECOS PAC ID: 1759393937 Enrollment ID: I20060713000088 |
| Provider Name | Janine Quinlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396777132 PECOS PAC ID: 1951499003 Enrollment ID: I20071127000044 |
| Provider Name | Kim S Bautista |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447375217 PECOS PAC ID: 9436298114 Enrollment ID: I20091210000003 |
| Provider Name | Tamara Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700064011 PECOS PAC ID: 9931342417 Enrollment ID: I20130903000001 |
| Provider Name | Iustinian Rusu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962631234 PECOS PAC ID: 6709101074 Enrollment ID: I20150207000196 |
| Provider Name | Catherina G Litkei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174934582 PECOS PAC ID: 7618295221 Enrollment ID: I20150410001848 |
| Provider Name | Ronald S Yearwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457374423 PECOS PAC ID: 8325346935 Enrollment ID: I20160415000169 |
| Provider Name | Susan M Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316117484 PECOS PAC ID: 6901190198 Enrollment ID: I20160811000031 |
| Provider Name | Lisa J Pappa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508178484 PECOS PAC ID: 2668752189 Enrollment ID: I20161129001533 |
| Provider Name | Patrick Gibbons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669736039 PECOS PAC ID: 5092035972 Enrollment ID: I20170801001221 |
| Provider Name | Jamie L. Castellano-gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285954230 PECOS PAC ID: 5294007977 Enrollment ID: I20170815002727 |
| Provider Name | Joshua J Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093080483 PECOS PAC ID: 5092005520 Enrollment ID: I20171101000622 |
| Provider Name | Charles W Morgan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1356564868 PECOS PAC ID: 7113272352 Enrollment ID: I20180612002065 |
| Provider Name | Maura Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497173728 PECOS PAC ID: 0244582138 Enrollment ID: I20181003002401 |
| Provider Name | Christopher Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134457807 PECOS PAC ID: 0446674246 Enrollment ID: I20200727003144 |
| Provider Name | Jarrod A Holiday |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033560131 PECOS PAC ID: 2668802976 Enrollment ID: I20210409001458 |
| Provider Name | Olga Gorshkalova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689022360 PECOS PAC ID: 6507297207 Enrollment ID: I20210413001482 |
| Provider Name | Wade E Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157424 PECOS PAC ID: 4688062052 Enrollment ID: I20211104000948 |
| Provider Name | Joyce L Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356715809 PECOS PAC ID: 6800286261 Enrollment ID: I20211130000628 |
| Provider Name | Kylie A Harms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023552726 PECOS PAC ID: 4486937133 Enrollment ID: I20220201000946 |
| Provider Name | Christine Vieira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063820645 PECOS PAC ID: 4082000153 Enrollment ID: I20220330001253 |
| Provider Name | Alexandra Katchmar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508423906 PECOS PAC ID: 0446637979 Enrollment ID: I20220521000276 |
| Provider Name | Kelesey G Wage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629596119 PECOS PAC ID: 2668861287 Enrollment ID: I20220818000514 |
| Provider Name | Cheryl J Rizzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609368745 PECOS PAC ID: 6608243829 Enrollment ID: I20221101001596 |
| Provider Name | Patricia C Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326512328 PECOS PAC ID: 7214305986 Enrollment ID: I20221130002235 |
| Provider Name | Cara E Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154044337 PECOS PAC ID: 1951771567 Enrollment ID: I20221222002119 |
| Provider Name | Kelsey S Hobart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376100115 PECOS PAC ID: 9537556220 Enrollment ID: I20230824001434 |
| Provider Name | Michael A Mackay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689134322 PECOS PAC ID: 2961736970 Enrollment ID: I20231127000621 |
| Provider Name | Molly Pulinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073162335 PECOS PAC ID: 0941650105 Enrollment ID: I20231229002123 |
County Of Wayne Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 Fax: 315-946-7110 | |
County Of Wayne Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-946-5722 | |
Wayne County Action Program, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Montezuma St, Lyons, NY 14489 Phone: 315-665-0131 Fax: 315-665-0137 |