| Supportive Psychological Services Of Long Island, P.c. | |
|
6500 Jericho Tpke Commack NY 11725-2909 | |
| (631) 252-1221 | |
| Not Available |
| Full Name | Supportive Psychological Services Of Long Island, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 6500 Jericho Tpke, Commack, New York |
| Authorized Official Name and Position | Linda Ganzenmuller (PRESIDENT) |
| Authorized Official Contact | 6312521221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Psychological Services Of Long Island, P.c. Po Box 1226 Commack NY 11725-0900 Ph: (631) 252-1221 | Supportive Psychological Services Of Long Island, P.c. 6500 Jericho Tpke Commack NY 11725-2909 Ph: (631) 252-1221 |
| NPI Number | 1285169193 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 7618249152 |
|---|---|
| Medicare Enrollment ID | O20170818000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285169193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Linda A Ganzenmuller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720144900 PECOS PAC ID: 5395927396 Enrollment ID: I20110312000041 |
Turning Points Cfs, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 Commack Rd Ste 210, Commack, NY 11725 Phone: 631-858-1090 Fax: 631-499-0534 | |
United Supports For Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 Commack Rd., Suite 205, Commack, NY 11725 Phone: 516-848-8551 | |
Karen Ness Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Veterans Memorial Hwy Ste 8, Commack, NY 11725 Phone: 631-988-7229 Fax: 631-698-7151 | |
David L. Kreitzman, M.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 283 Commack Rd, Suite 101, Commack, NY 11725 Phone: 631-462-7774 | |
Mateer Orthodontics Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Commack Rd Ste 102, Commack, NY 11725 Phone: 631-462-1970 | |
Psychological Restorative Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 Commack Rd Ste 210, Commack, NY 11725 Phone: 631-499-7500 | |
Janis Hoffman Lcsw ,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke Ste 335, Commack, NY 11725 Phone: 917-596-1040 |