| Henrietta Psychiatric Np Care, Pllc | |
|
250-b Lucius Gordon Drive Suite 2 West Henrietta NY 14586 | |
| (585) 471-3407 | |
| (866) 557-9530 |
| Full Name | Henrietta Psychiatric Np Care, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 250-b Lucius Gordon Drive Suite 2, West Henrietta, New York |
| Authorized Official Name and Position | Laura Baker (OWNER) |
| Authorized Official Contact | 5854713407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrietta Psychiatric Np Care, Pllc 250 Lucius Gordon Dr Ste 2 West Henrietta NY 14586-9662 Ph: (585) 471-3407 | Henrietta Psychiatric Np Care, Pllc 250-b Lucius Gordon Drive Suite 2 West Henrietta NY 14586 Ph: (585) 471-3407 |
| NPI Number | 1114648276 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 7416333745 |
|---|---|
| Medicare Enrollment ID | O20221010002509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114648276 | NPI | - | NPPES |
| 02184494 | Medicaid | NY |
| Provider Name | Laura Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508886292 PECOS PAC ID: 9830105204 Enrollment ID: I20060223000111 |
| Provider Name | Wendy J Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922480185 PECOS PAC ID: 8820383540 Enrollment ID: I20160819001327 |
| Provider Name | Deborah Lee Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366716094 PECOS PAC ID: 8224311592 Enrollment ID: I20170210001700 |
| Provider Name | Shannon Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225514623 PECOS PAC ID: 1052661360 Enrollment ID: I20180907000889 |
| Provider Name | Capri K Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467087015 PECOS PAC ID: 6608293188 Enrollment ID: I20200828001452 |
| Provider Name | Pamela D Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700071362 PECOS PAC ID: 9133514268 Enrollment ID: I20220328000684 |
| Provider Name | Estelle A Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982195186 PECOS PAC ID: 7113314873 Enrollment ID: I20220427001376 |
| Provider Name | Barbara J Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013421817 PECOS PAC ID: 5496195885 Enrollment ID: I20240502001164 |
| Provider Name | Tricia K Berger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679738942 PECOS PAC ID: 2860832151 Enrollment ID: I20240503000962 |
| Provider Name | Erin Thurston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407162001 PECOS PAC ID: 3173065737 Enrollment ID: I20240611001384 |
| Provider Name | Syed T Mahmud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386363919 PECOS PAC ID: 8628505369 Enrollment ID: I20241219002413 |
True North Aba Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5569 W Henrietta Rd, West Henrietta, NY 14586 Phone: 585-706-8628 Fax: 585-510-2332 |