| Mindhealth Psychological Services, Pllc | |
|
3669 Main St Suite 5 Stone Ridge NY 12484-5613 | |
| (845) 784-7862 | |
| Not Available |
| Full Name | Mindhealth Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3669 Main St, Stone Ridge, New York |
| Authorized Official Name and Position | Kendra Lauren Haven (OWNER) |
| Authorized Official Contact | 8457847862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindhealth Psychological Services, Pllc 3669 Main St Ste 5 P.o. Box 894 Stone Ridge NY 12484-5613 Ph: (845) 784-7862 | Mindhealth Psychological Services, Pllc 3669 Main St Suite 5 Stone Ridge NY 12484-5613 Ph: (845) 784-7862 |
| NPI Number | 1205239480 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 3072837392 |
|---|---|
| Medicare Enrollment ID | O20150115000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205239480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (New York) | Primary |
| Provider Name | Kendra L Haven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205939493 PECOS PAC ID: 3173585668 Enrollment ID: I20041027000882 |
Kathleen J. Caproni, Phd, Licensed Psychologist, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Sun Creek Ln, Suite 1, Stone Ridge, NY 12484 Phone: 845-687-6341 Fax: 914-687-6341 | |
Andy Lapides Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Mill Dam Rd, Stone Ridge, NY 12484 Phone: 973-224-0978 Fax: 973-433-7850 | |
Anthony Gaudioso, Ph.d, Licensed Mental Health Counselor, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 695 Buck Rd, Stone Ridge, NY 12484 Phone: 917-470-9224 Fax: 917-470-9330 | |
Rising Lotus Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Main St, Stone Ridge, NY 12484 Phone: 718-986-7470 |