Patricia M. Wilkins-Vacca, LCSW, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PATRICIA M. WILKINS-VACCA, LCSW, PC

Practice address

504 Haight Ave
Poughkeepsie, NY 12603-2479

Phone

(845) 527-9456

Fax

(845) 473-0628

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Patricia M Wilkins-Vacca, LCSWR

Title

President

Phone

(845) 527-9456

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1407074065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E BANK RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031432",
            "telephone_number": "845-527-9456",
            "fax_number": "845-473-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HAIGHT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032479",
            "telephone_number": "845-527-9456",
            "fax_number": "845-473-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M. WILKINS-VACCA, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "WILKINS-VACCA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-527-9456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02469689",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7496661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2586785",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "781305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krusang Patel, MD
• Lena Patel, M.D.
• Maher Pathan
• Pushpa Shyam Patil, M.D.
• Anthony John Patrello, M.D.
• Michelle E Patrick, CPNP
• Latifa Patterson
• Shavon Patterson
• Priyam Pattnaik, MD
• Aditya Paudel, MD

• Community/Behavioral Health Agency in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.