| Erie County South East Corp V | |
|
326 Orchard Park Rd West Seneca NY 14224-2635 | |
| (716) 662-6638 | |
| (716) 823-0751 |
| Full Name | Erie County South East Corp V |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 326 Orchard Park Rd, West Seneca, New York |
| Authorized Official Name and Position | Bruce C Nisbet (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7166622040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erie County South East Corp V 227 Thorn Ave Orchard Park NY 14127-2600 Ph: (716) 662-2040 | Erie County South East Corp V 326 Orchard Park Rd West Seneca NY 14224-2635 Ph: (716) 662-6638 |
| NPI Number | 1487601837 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 07/18/2016 |
| Medicare PECOS PAC ID | 9638079023 |
|---|---|
| Medicare Enrollment ID | O20040112000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487601837 | NPI | - | NPPES |
| 0001122770 | Other | NY | UNIVERA MH |
| 040727000154 | Other | NY | MED.MANCARE MH & CD |
| 000507634001 | Other | NY | BCBS - MH |
| 8401220 | Other | NY | IHA - MH & CD |
| 00660577 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6845102D (New York) | Primary |
| Provider Name | Elisabeth F Mashinic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376682989 PECOS PAC ID: 7113957317 Enrollment ID: I20050817000659 |
| Provider Name | Dawnmarie Sainsbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336342336 PECOS PAC ID: 6406949080 Enrollment ID: I20070912000806 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | David M Pfalzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932410206 PECOS PAC ID: 3577750611 Enrollment ID: I20101215000250 |
| Provider Name | Gregory J Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740244672 PECOS PAC ID: 0345345922 Enrollment ID: I20110303000783 |
| Provider Name | Eric Dryja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588628267 PECOS PAC ID: 8022289024 Enrollment ID: I20110923000246 |
| Provider Name | Marcelle A Mostert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215020235 PECOS PAC ID: 8628240520 Enrollment ID: I20111019000757 |
| Provider Name | Kristen L Acquilano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780819276 PECOS PAC ID: 2365671138 Enrollment ID: I20140128001053 |
| Provider Name | Rosanna S Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053789305 PECOS PAC ID: 7911217195 Enrollment ID: I20151102000125 |
| Provider Name | Sheryl A Campbell-julien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740653583 PECOS PAC ID: 8224337662 Enrollment ID: I20160505002186 |
| Provider Name | Mary F Arlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437673134 PECOS PAC ID: 2365716834 Enrollment ID: I20170921002197 |
| Provider Name | Aimee D Dipasqua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265687651 PECOS PAC ID: 0840556932 Enrollment ID: I20171106001820 |
| Provider Name | Nilofar Sarvaiya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134548910 PECOS PAC ID: 8820345176 Enrollment ID: I20180718002345 |
| Provider Name | Daijha C Cobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699243287 PECOS PAC ID: 8123365087 Enrollment ID: I20190130002275 |
| Provider Name | Emily R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754567 PECOS PAC ID: 8325387764 Enrollment ID: I20190304000304 |
| Provider Name | Hannah F Forysinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477114072 PECOS PAC ID: 3678804945 Enrollment ID: I20191017001666 |
| Provider Name | Amanda T Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568973618 PECOS PAC ID: 3577994144 Enrollment ID: I20200514001870 |
| Provider Name | Petra Laura Guilmain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831723881 PECOS PAC ID: 7416373949 Enrollment ID: I20200814001059 |
| Provider Name | Katharine Louzek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639390586 PECOS PAC ID: 2062789217 Enrollment ID: I20210713003908 |
| Provider Name | Joanne S Keuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952971020 PECOS PAC ID: 1759779739 Enrollment ID: I20211025000689 |
| Provider Name | Aaron L Porzio-diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841952538 PECOS PAC ID: 0547647836 Enrollment ID: I20220505002214 |
| Provider Name | Holli M Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033589924 PECOS PAC ID: 6608254875 Enrollment ID: I20220531000255 |
| Provider Name | Theresa N Elie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780085605 PECOS PAC ID: 6204215445 Enrollment ID: I20220620000320 |
| Provider Name | Amanda L Merlino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740914878 PECOS PAC ID: 0648640110 Enrollment ID: I20221227000557 |
| Provider Name | Harold Tabi Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457071094 PECOS PAC ID: 5092174615 Enrollment ID: I20230629002729 |
| Provider Name | Alyssa A Swatkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083197040 PECOS PAC ID: 9335596873 Enrollment ID: I20231106002097 |
| Provider Name | Stephanie L Grden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629669155 PECOS PAC ID: 9234580614 Enrollment ID: I20240110002189 |
| Provider Name | Catrina J Dworzack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619493426 PECOS PAC ID: 9830540244 Enrollment ID: I20240110003117 |
| Provider Name | Bridget E Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245686146 PECOS PAC ID: 7810349537 Enrollment ID: I20240118002224 |
| Provider Name | Antoinette V Steinbarth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972896280 PECOS PAC ID: 6002268737 Enrollment ID: I20240118002525 |
| Provider Name | Georgina Volanis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184025090 PECOS PAC ID: 7416309059 Enrollment ID: I20240118003065 |
| Provider Name | Malene K White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477093730 PECOS PAC ID: 9335591882 Enrollment ID: I20240119002241 |
| Provider Name | Shannon C Franz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003558776 PECOS PAC ID: 3072965540 Enrollment ID: I20240119002979 |
| Provider Name | Rachel E Pickel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235506882 PECOS PAC ID: 2961855184 Enrollment ID: I20240124001847 |
| Provider Name | Brittany C Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104312487 PECOS PAC ID: 8123471232 Enrollment ID: I20240125000390 |
| Provider Name | Katrina Norris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033408976 PECOS PAC ID: 6406209220 Enrollment ID: I20240129002143 |
| Provider Name | Amanda Burkett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417396029 PECOS PAC ID: 8820431695 Enrollment ID: I20240208001874 |
| Provider Name | Deborah A Labounty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922551191 PECOS PAC ID: 7618310400 Enrollment ID: I20240208002629 |
| Provider Name | Christina A Kowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649751942 PECOS PAC ID: 3072956770 Enrollment ID: I20240209001901 |
| Provider Name | Jasira E Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518523422 PECOS PAC ID: 7517302615 Enrollment ID: I20240228003445 |
| Provider Name | Allison M Nassoiy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831341668 PECOS PAC ID: 0547606931 Enrollment ID: I20240307002162 |
| Provider Name | Gail E Holler-kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790839447 PECOS PAC ID: 1052757358 Enrollment ID: I20240308002426 |
| Provider Name | Anissa Bochiechio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972087872 PECOS PAC ID: 4082050828 Enrollment ID: I20240314002622 |
| Provider Name | Christine M Ziemba |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275679318 PECOS PAC ID: 8123465986 Enrollment ID: I20240328001726 |
| Provider Name | Melissa L Farrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487712857 PECOS PAC ID: 2567657489 Enrollment ID: I20240417002841 |
| Provider Name | Chelsea M Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730661745 PECOS PAC ID: 3779025853 Enrollment ID: I20240604002922 |
| Provider Name | Deborah A Schwagler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043879042 PECOS PAC ID: 6709329527 Enrollment ID: I20240621001349 |
| Provider Name | Shanese L Mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417468562 PECOS PAC ID: 9032654181 Enrollment ID: I20240712001439 |
| Provider Name | Samantha M Olrogg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861934499 PECOS PAC ID: 3274078225 Enrollment ID: I20240715000147 |
| Provider Name | David L Braymiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407268907 PECOS PAC ID: 5092252437 Enrollment ID: I20240803000263 |
| Provider Name | Tammy L Bissonnette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255195145 PECOS PAC ID: 2769918911 Enrollment ID: I20241211001026 |
| Provider Name | Jennifer C Ehlinger-saj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700462777 PECOS PAC ID: 3971027053 Enrollment ID: I20250410000985 |
| Provider Name | Heather M Kostek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770398604 PECOS PAC ID: 2264950161 Enrollment ID: I20250514003220 |
| Provider Name | Cheyenne Susan Bruyere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306562848 PECOS PAC ID: 2062923410 Enrollment ID: I20250613001500 |
Genesee Valley Group Health Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Empire Dr, West Seneca, NY 14224 Phone: 716-668-6170 | |
Genesee Valley Group Health Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Empire Dr, West Seneca, NY 14224 Phone: 716-668-6170 | |
Wny Wellness Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Dyke Rd, West Seneca, NY 14224 Phone: 716-635-5010 Fax: 716-265-3801 | |
Lion's Tooth Counseling, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1293 Union Rd, West Seneca, NY 14224 Phone: 716-316-3730 Fax: 716-503-4286 | |
Mental Health Services Of Erie County Secv Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 Orchard Park Rd, West Seneca, NY 14224 Phone: 716-828-1719 Fax: 716-828-9275 | |
Nys Office Of Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 E And West Rd, West Seneca, NY 14224 Phone: 716-674-9730 |