| Onondaga County Department Of Mental Health | |
|
20 State St Tully NY 13159-3254 | |
| (315) 435-7706 | |
| (315) 435-7715 |
| Full Name | Onondaga County Department Of Mental Health |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 20 State St, Tully, New York |
| Authorized Official Name and Position | Robert C Long (COMMISSIONER) |
| Authorized Official Contact | 3154353355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onondaga County Department Of Mental Health 421 Montgomery St Syracuse NY 13202-2923 Ph: (315) 435-3355 | Onondaga County Department Of Mental Health 20 State St Tully NY 13159-3254 Ph: (315) 435-7706 |
| NPI Number | 1205277886 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205277886 | NPI | - | NPPES |
| 335184 | Other | NY | MEDICARE |
| 00565031 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Matthew Scheuer Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 Sky High Rd, Tully, NY 13159 Phone: 315-427-2528 |