| Dr Stephen Larson, PSY D | |
|
352 Hommelville Rd, Saugerties, NY 12477-4205 | |
| (951) 285-3306 | |
| Not Available |
| Full Name | Dr Stephen Larson |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 25 Years |
| Location | 352 Hommelville Rd, Saugerties, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649230160 | NPI | - | NPPES |
| 433395199 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | TP1267 (Maine) | Secondary |
| 103T00000X | Psychologist | 018768-1 (New York) | Primary |
| 103T00000X | Psychologist | PS1267 (Maine) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctor On Demand Professionals P C | 9436464567 | 145 |
| Entity Name | Doctor On Demand Professionals P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20231013002360 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Larson, PSY D 352 Hommelville Rd, Saugerties, NY 12477-4205 Ph: (845) 633-1146 | Dr Stephen Larson, PSY D 352 Hommelville Rd, Saugerties, NY 12477-4205 Ph: (951) 285-3306 |
Dr. Aenne Grannis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 268 W Saugerties Rd, Saugerties, NY 12477 Phone: 845-247-8777 | |
Dr. Sheila Fae Dinaburg-azoff, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 268 W Saugerties Rd, Saugerties, NY 12477 Phone: 845-247-8777 | |
Mr. Anthony Sasso, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 310 Washington Avenue Ext, Saugerties, NY 12477 Phone: 845-247-6804 |