| Spectrum Psychotherapy Services Lcsw, Pllc | |
|
514 Haight Ave Poughkeepsie NY 12603-2464 | |
| (845) 485-3506 | |
| (845) 485-8780 |
| Full Name | Spectrum Psychotherapy Services Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 514 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 Psychotherapy Services Lcsw, Pllc 20 Davis Ave Poughkeepsie NY 12603-2408 Ph: (845) 485-3500 | Spectrum Psychotherapy Services Lcsw, Pllc 514 Haight Ave Poughkeepsie NY 12603-2464 Ph: (845) 485-3506 |
| NPI Number | 1255496741 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 06/28/2012 |
| Medicare PECOS PAC ID | 8325289192 |
|---|---|
| Medicare Enrollment ID | O20130722000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255496741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 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 | Robert A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497769426 PECOS PAC ID: 2264490556 Enrollment ID: I20050104000042 |
| 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 | Jennifer A Strano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245325117 PECOS PAC ID: 3375545890 Enrollment ID: I20070212000524 |
| Provider Name | Kelvin Antonelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619277555 PECOS PAC ID: 5991982548 Enrollment ID: I20110607000644 |
| Provider Name | Elyse M Demadaler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881601011 PECOS PAC ID: 1759529894 Enrollment ID: I20130530000514 |
| Provider Name | Jacqueline F Gallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306013362 PECOS PAC ID: 3577637578 Enrollment ID: I20131212001174 |
| Provider Name | Perry S Savino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770634933 PECOS PAC ID: 4880818699 Enrollment ID: I20140618001084 |
| Provider Name | Karen Rich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700261351 PECOS PAC ID: 4688965320 Enrollment ID: I20160628000086 |
| Provider Name | Angela Arelis Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225313398 PECOS PAC ID: 7113208448 Enrollment ID: I20161229000082 |
| Provider Name | Abraham K David |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568793065 PECOS PAC ID: 2860528395 Enrollment ID: I20171002003085 |
| Provider Name | Rajiv Verma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205207214 PECOS PAC ID: 2062939184 Enrollment ID: I20250512001907 |
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