| Rise Life Services | |
|
901 E Main St Ste 500 Riverhead NY 11901-2680 | |
| (631) 727-6220 | |
| Not Available |
| Full Name | Rise Life Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 E Main St Ste 500, Riverhead, New York |
| Authorized Official Name and Position | Holly Gurnick (CFO) |
| Authorized Official Contact | 6317276220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Life Services 901 E Main St Ste 508 Riverhead NY 11901-2680 Ph: (631) 727-6220 | Rise Life Services 901 E Main St Ste 500 Riverhead NY 11901-2680 Ph: (631) 727-6220 |
| NPI Number | 1912575762 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Medicare PECOS PAC ID | 1658762182 |
|---|---|
| Medicare Enrollment ID | O20211216002901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912575762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Susan Schmid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093955569 PECOS PAC ID: 1557661816 Enrollment ID: I20151118002745 |
| Provider Name | Marie O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265955850 PECOS PAC ID: 3173886918 Enrollment ID: I20180410000630 |
| Provider Name | Kathryn Hamma Clavin-vunkannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114331410 PECOS PAC ID: 5395008007 Enrollment ID: I20180411000931 |
| Provider Name | Susan M Trees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912219841 PECOS PAC ID: 3779835335 Enrollment ID: I20181009002042 |
| Provider Name | Jennifer Scheck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568837151 PECOS PAC ID: 6406223031 Enrollment ID: I20221110001012 |
| Provider Name | Marc Etts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013463231 PECOS PAC ID: 2466804158 Enrollment ID: I20240118001058 |
| Provider Name | Philip Joseph Gape |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447932157 PECOS PAC ID: 3476991878 Enrollment ID: I20240404001197 |
| Provider Name | Cecelia M Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679295489 PECOS PAC ID: 9032550678 Enrollment ID: I20240514000211 |
| Provider Name | Mayra Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245705680 PECOS PAC ID: 1153865183 Enrollment ID: I20240702001045 |
| Provider Name | Richard J Satriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407362775 PECOS PAC ID: 8729510482 Enrollment ID: I20241018001983 |
| Provider Name | Laura Jeanne Molden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346885522 PECOS PAC ID: 7911486048 Enrollment ID: I20260210000608 |
Alexis Hugelmeyer, D.O., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1272 E Main St, Riverhead, NY 11901 Phone: 516-761-2500 |
East End Endocrinology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Main Rd, Suite F, Riverhead, NY 11901 Phone: 631-288-7120 |
Victory Recovery Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1228 E Main St Ste A, Riverhead, NY 11901 Phone: 631-696-4357 Fax: 631-846-8138 |
Tmh Medical Home PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1274 E Main St, Riverhead, NY 11901 Phone: 631-284-3793 Fax: 631-729-3111 |
Emk Quality Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Old Country Rd Ste 7, Riverhead, NY 11901 Phone: 631-830-4065 Fax: 631-830-4256 |
Opti-healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 883 E Main St, Riverhead, NY 11901 Phone: 631-284-5500 Fax: 631-369-7421 |