| Healthalliance Hospital Marys Avenue Campus | |
|
105 Marys Ave Kingston NY 12401-5848 | |
| (845) 943-6007 | |
| (845) 943-6038 |
| Full Name | Healthalliance Hospital Marys Avenue Campus |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 105 Marys Ave, Kingston, New York |
| Authorized Official Name and Position | Joshua Ratner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9144932961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthalliance Hospital Marys Avenue Campus 105 Marys Ave Kingston NY 12401-5829 Ph: (845) 943-6007 | Healthalliance Hospital Marys Avenue Campus 105 Marys Ave Kingston NY 12401-5848 Ph: (845) 943-6007 |
| NPI Number | 1285601237 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285601237 | NPI | - | NPPES |
| UV5282 | Other | NY | MVP HEALTH PLAN PROV ID |
| 000702 | Other | NY | BLUE CROSS PROVIDER NUMBE |
| 6450795 | Other | NY | AETNA PROV ID |
| 00274020 | Medicaid | NY | |
| 143278 | Other | NY | VALUE OPTIONS PROV ID |
| 10005742 | Other | NY | CDPHP PROVIDER ID |
| 3185 | Other | NY | GHI PROVIDER ID |
| 103185 | Other | NY | WELLCARE PROV ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
County Of Ulster Ny Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 239 Golden Hill Ln, Kingston, NY 12401 Phone: 845-340-4000 Fax: 845-340-4094 | |
Hudson Valley Psychology Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Green St., Suite 1, Kingston, NY 12401 Phone: 845-339-2352 Fax: 845-339-2382 | |
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Physician At Newburgh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 396 Broadway, Kingston, NY 12401 Phone: 845-331-3131 | |
Jennica Laine-formisano Psyd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Kings Mall Ct # 331, Kingston, NY 12401 Phone: 845-489-3687 Fax: 845-332-6041 | |
Gateway Community Industries, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Amy Kay Pkwy, Kingston, NY 12401 Phone: 845-331-1261 Fax: 845-331-2112 | |
Specialty Care Center Of Kingston Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Foxhall Ave, Kingston, NY 12401 Phone: 845-338-8444 Fax: 845-338-2906 |