| Headway Wisconsin Behavioral Health Services, S.c. | |
|
205 Hudson St Fl 9 New York NY 10013-1810 | |
| (646) 453-6777 | |
| (212) 337-9841 |
| Full Name | Headway Wisconsin Behavioral Health Services, S.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 205 Hudson St Fl 9, New York, New York |
| Authorized Official Name and Position | Cary Crall (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 Wisconsin Behavioral Health Services, S.c. 205 Hudson St Fl 9 New York NY 10013-1810 Ph: () - | Headway Wisconsin Behavioral Health Services, S.c. 205 Hudson St Fl 9 New York NY 10013-1810 Ph: (646) 453-6777 |
| NPI Number | 1437875564 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 6103359195 |
|---|---|
| Medicare Enrollment ID | O20241029004025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437875564 | NPI | - | NPPES |
| Provider Name | Meredith H Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881000974 PECOS PAC ID: 1153735386 Enrollment ID: I20210130000017 |
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