| Monsignor Carr Institute | |
|
76 W. Humboldt Parkway Buffalo NY 14214 | |
| (716) 856-4494 | |
| (716) 842-1277 |
| Full Name | Monsignor Carr Institute |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 76 W. Humboldt Parkway, Buffalo, New York |
| Authorized Official Name and Position | Dennis Walczyk (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7162181450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monsignor Carr Institute 741 Delaware Ave Buffalo NY 14209-2201 Ph: (716) 218-1450 | Monsignor Carr Institute 76 W. Humboldt Parkway Buffalo NY 14214 Ph: (716) 856-4494 |
| NPI Number | 1962596718 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/10/2015 |
| Medicare PECOS PAC ID | 0941196588 |
|---|---|
| Medicare Enrollment ID | O20040304000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962596718 | NPI | - | NPPES |
| 5390701 | Other | NY | AETNA |
| 00030241501 | Other | NY | UNIVERA |
| 02998227 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Deborah P Mecca Valente |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073549218 PECOS PAC ID: 2365338878 Enrollment ID: I20040223000890 |
| Provider Name | Frederick Michael Elliott |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023080728 PECOS PAC ID: 8224066451 Enrollment ID: I20050729000376 |
| Provider Name | Gerald E Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548203516 PECOS PAC ID: 3173618717 Enrollment ID: I20070927000676 |
| Provider Name | Christine M Douds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932160694 PECOS PAC ID: 1355436197 Enrollment ID: I20071009000230 |
| Provider Name | Diana J Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598896128 PECOS PAC ID: 5799822706 Enrollment ID: I20091023000523 |
| Provider Name | Tracey Botham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003912700 PECOS PAC ID: 6709106016 Enrollment ID: I20150527001697 |
| Provider Name | Diane Shultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568429579 PECOS PAC ID: 2163703463 Enrollment ID: I20161228001465 |
| Provider Name | Michelle C Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275896755 PECOS PAC ID: 1951673078 Enrollment ID: I20170823003356 |
| Provider Name | Pamela Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891971347 PECOS PAC ID: 4082966023 Enrollment ID: I20181002003771 |
| Provider Name | Miri Salamone-burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215279435 PECOS PAC ID: 2466795943 Enrollment ID: I20190524001326 |
| Provider Name | Caitlin Latona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215572466 PECOS PAC ID: 4789019183 Enrollment ID: I20200113001720 |
| Provider Name | Megan Bhatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376140277 PECOS PAC ID: 5799184909 Enrollment ID: I20210520000694 |
| Provider Name | Emily Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184020729 PECOS PAC ID: 0345640595 Enrollment ID: I20210610000879 |
| Provider Name | Beth A Tripi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396093845 PECOS PAC ID: 2163823535 Enrollment ID: I20210623002947 |
| Provider Name | Christina E Cocca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962881169 PECOS PAC ID: 3072993849 Enrollment ID: I20220711002290 |
| Provider Name | Michael Joseph Balk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073612198 PECOS PAC ID: 4183098833 Enrollment ID: I20230320001093 |
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