Putnam Family and Community Services Inc
Organization Active NPI Mental Health Counselor · Carmel, NY
NPI 1497737167 · NPPES record last updated Oct 6, 2017
Key facts
- NPI
- 1497737167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 9041100A (NY)
- Legal business name
- PUTNAM FAMILY AND COMMUNITY SERVICES INC
- Practice address
- 1808 Route 6
Carmel, NY 10512 - Phone
- (845) 225-2700
- Fax
- (845) 225-3207
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Diane E Russo
- Title
- Chief Executive Officer/ Director
- Phone
- (845) 225-2700
Corporate family (same tax ID) 1
Practitioners 157
-
Jane E. Amsden, LCSW-R
-
Cristina M Bates-Mott, L.C.S.W., L.C.A.D.C.
-
Perry Branson, M.D
-
Diana Burns-Wetzel, LCSW, CASAC
-
Michaela Macquignon, LMHC
-
Johnson Oppong, PSYCHIATRIC NURSE PR
-
Christopher G Pasquale, LCSWR
-
Jeff Perls, LCSWR
-
Mariel Rebecca Roth, MSW
-
Grace Eva Beach, LMSW
-
Ashley Charbonneau, LCSW
-
Kelly Darrow, LCSW
-
Keith Jordan, LCSW
-
Sarah Browne Kent, N.P.
-
Claudine Sapini, PMHNP-BC
-
George Uy, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312001060 | NY | Part B Supplier - Clinic/Group Practice | 3072402429 |
Receives reassigned benefits from 25 practitioners Practice locations: Brewster, NY; Carmel, NY; Garrison, NY; Patterson, NY |
National Provider Directory
- Tax ID family
- Covecare Center
Locations
1816 Route 6
Carmel, NY 10512
Phone (845) 225-2700
1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700
21 Franciscan Way
Garrison, NY 10524
Phone (845) 225-2700
2050 Rte 22
Patterson, NY 12563
Phone (845) 225-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 9041100A | NY | Yes |
Addresses
Primary practice location
1808 Route 6
Carmel, NY 10512
Mailing address
1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02073283 | Medicaid | NY | |
| 02995857 | Medicaid | NY | |
| A2191995 | Other | NY | OXFORD GROUP NUMBER |
| 01755715 | Medicaid | NY | |
| WIL271 | Other | NY | EMPIRE HEALTH SERVICES GR |
| 3189418 | Other | NY | GHI GROUP NUMBER |
Other names
- CoveCare Center
Other providers in Carmel, NY
- Amanda Nicole Primm
- Tina Privitera
- Karen Anne Proctor
- Karen Profita
- Prohealth Care Associates, LLP
- Putnam Family and Community Services Inc
- Putnam Gi, LLC
- Putnam Hospital Center
- Putnam Hospital Center
- Putnam Imaging Associates PC
All providers in Carmel, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.