| Headway New Jersey Behavioral Health Services, P.c. | |
|
205 Hudson St Fl 9 New York NY 10013-1810 | |
| (646) 453-6777 | |
| (929) 596-7897 |
| Full Name | Headway New Jersey Behavioral Health Services, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 205 Hudson St Fl 9, New York, New York |
| Authorized Official Name and Position | Cary S. Crall (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 6464536777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headway New Jersey Behavioral Health Services, P.c. 114 5th Ave Fl 2 New York NY 10011-5611 Ph: () - | Headway New Jersey Behavioral Health Services, P.c. 205 Hudson St Fl 9 New York NY 10013-1810 Ph: (646) 453-6777 |
| NPI Number | 1629660337 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Medicare PECOS PAC ID | 1850785197 |
|---|---|
| Medicare Enrollment ID | O20220302000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629660337 | NPI | - | NPPES |
| Provider Name | Brenna L. Cyr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073961124 PECOS PAC ID: 3476988353 Enrollment ID: I20200123000482 |
| Provider Name | Melissa Anne Hathaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598162638 PECOS PAC ID: 4284073495 Enrollment ID: I20240422001296 |
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