| Spectrum Behavioral Management Services, Inc. | |
|
510 Haight Ave Poughkeepsie NY 12603-2464 | |
| (845) 485-3500 | |
| (845) 485-8780 |
| Full Name | Spectrum Behavioral Management Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 510 Haight Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | Yogesh M. Shingala (CHAIRMAN) |
| Authorized Official Contact | 8454853500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Behavioral Management Services, Inc. 20 Davis Ave Poughkeepsie NY 12603-2408 Ph: (845) 485-3500 | Spectrum Behavioral Management Services, Inc. 510 Haight Ave Poughkeepsie NY 12603-2464 Ph: (845) 485-3500 |
| NPI Number | 1629051149 |
|---|---|
| Provider Enumeration Date | 11/29/2005 |
| Last Update Date | 03/06/2013 |
| Medicare PECOS PAC ID | 5890684633 |
|---|---|
| Medicare Enrollment ID | O20040311000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629051149 | NPI | - | NPPES |
| Provider Name | Carol L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770699274 PECOS PAC ID: 4688669609 Enrollment ID: I20040419001096 |
| Provider Name | Yogesh M Shingala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316052731 PECOS PAC ID: 9234108713 Enrollment ID: I20041106000098 |
| Provider Name | Frances R Berman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336259712 PECOS PAC ID: 1850301458 Enrollment ID: I20060426000914 |
| Provider Name | Hani I Khalil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285695486 PECOS PAC ID: 9133129968 Enrollment ID: I20061229000435 |
| Provider Name | Julia E Speicher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669574463 PECOS PAC ID: 5698879013 Enrollment ID: I20070324000030 |
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