| Karner Psychological Associates,pc | |
|
2280 Western Ave Guilderland NY 12084 | |
| (518) 456-5056 | |
| (518) 456-6512 |
| Full Name | Karner Psychological Associates,pc |
|---|---|
| Speciality | Psychologist |
| Location | 2280 Western Ave, Guilderland, New York |
| Authorized Official Name and Position | Susie Capoccia (CREDENTIALING) |
| Authorized Official Contact | 4807971571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karner Psychological Associates,pc 2280 Western Ave Guilderland NY 12084 Ph: (518) 456-5056 | Karner Psychological Associates,pc 2280 Western Ave Guilderland NY 12084 Ph: (518) 456-5056 |
| NPI Number | 1619913258 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 8224025986 |
|---|---|
| Medicare Enrollment ID | O20040427000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619913258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Gilston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396833521 PECOS PAC ID: 8729047279 Enrollment ID: I20041008000946 |
| Provider Name | Donna Brent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285703280 PECOS PAC ID: 8123111044 Enrollment ID: I20070910000375 |
| Provider Name | Tara N Penesso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538211586 PECOS PAC ID: 5496836918 Enrollment ID: I20080122000606 |
| Provider Name | Joseph Germano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093889180 PECOS PAC ID: 5799973798 Enrollment ID: I20101216001105 |
| Provider Name | Katherine E Crouch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902153679 PECOS PAC ID: 0749439040 Enrollment ID: I20121002000201 |
| Provider Name | Marjorie A Gang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629343066 PECOS PAC ID: 3375786619 Enrollment ID: I20130905000360 |
| Provider Name | Lisa Ditargiani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932539541 PECOS PAC ID: 6406089085 Enrollment ID: I20140506001472 |
| Provider Name | Kristen L Ajamian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558898460 PECOS PAC ID: 9133497027 Enrollment ID: I20170619000449 |
| Provider Name | Kimberly N Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306363882 PECOS PAC ID: 3779823133 Enrollment ID: I20190321000404 |
| Provider Name | Sanon Jerome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922557354 PECOS PAC ID: 0042622086 Enrollment ID: I20201215002195 |
| Provider Name | Heidi L Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962074146 PECOS PAC ID: 2668877150 Enrollment ID: I20210820002842 |
Sparc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Mercycare Ln, Guilderland, NY 12084 Phone: 518-452-6705 |