| Headway Colorado Behavioral Health Services, Inc. | |
|
205 Hudson St Fl 9 New York NY 10013-1810 | |
| (646) 453-6777 | |
| (212) 337-9841 |
| Full Name | Headway Colorado Behavioral Health Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 205 Hudson St Fl 9, New York, New York |
| Authorized Official Name and Position | Andrew Adams (CEO) |
| Authorized Official Contact | 6464536777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headway Colorado Behavioral Health Services, Inc. 205 Hudson St Fl 9 New York NY 10013-1810 Ph: (646) 453-6777 | Headway Colorado Behavioral Health Services, Inc. 205 Hudson St Fl 9 New York NY 10013-1810 Ph: (646) 453-6777 |
| NPI Number | 1164014874 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Medicare PECOS PAC ID | 5597201533 |
|---|---|
| Medicare Enrollment ID | O20241205003096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164014874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kate Nelson-dooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053732487 PECOS PAC ID: 2961729074 Enrollment ID: I20150811003796 |
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