| Family Service Of The Chautauqua Region Inc | |
|
332 E 4th St Jamestown NY 14701-5502 | |
| (716) 488-1971 | |
| (716) 488-9198 |
| Full Name | Family Service Of The Chautauqua Region Inc |
|---|---|
| Speciality | Social Worker |
| Location | 332 E 4th St, Jamestown, New York |
| Authorized Official Name and Position | James Mcelrath (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7164881971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of The Chautauqua Region Inc 332 E 4th St Jamestown NY 14701-5502 Ph: (716) 488-1971 | Family Service Of The Chautauqua Region Inc 332 E 4th St Jamestown NY 14701-5502 Ph: (716) 488-1971 |
| NPI Number | 1891820171 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 12/13/2013 |
| Medicare PECOS PAC ID | 8729032784 |
|---|---|
| Medicare Enrollment ID | O20050311000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891820171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie B Chipman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477644912 PECOS PAC ID: 4981629607 Enrollment ID: I20051012000277 |
| Provider Name | Manuel V Colon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124226717 PECOS PAC ID: 7214957125 Enrollment ID: I20051206000734 |
| Provider Name | Kelly A Burkhouse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972694248 PECOS PAC ID: 9931123726 Enrollment ID: I20060119000494 |
| Provider Name | Patricia Anne Humm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043543903 PECOS PAC ID: 6901020437 Enrollment ID: I20140624000424 |
| Provider Name | Jason Tonon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891134409 PECOS PAC ID: 4082021357 Enrollment ID: I20210402000748 |
| Provider Name | Barbara V Highhouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730579616 PECOS PAC ID: 5294179412 Enrollment ID: I20240215002864 |
| Provider Name | Patrick L Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194483818 PECOS PAC ID: 9436103496 Enrollment ID: I20240216000321 |
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 | |
Richard Hoffman Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Howard Ave., Jamestown, NY 14701 Phone: 724-396-1510 Fax: 724-972-4627 |