Bhcofwny
Organization Active NPI Clinical Psychologist · Hamburg, NY
NPI 1689393191 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1689393191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- BHCOFWNY
- Practice address
- 5178 Parker Rd
Hamburg, NY 14075-1633 - Phone
- (716) 598-8827
- NPI assigned
- Aug 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles Jack, PHD
- Title
- Owner/Sole Proprietor
- Phone
- (716) 598-8827
Practitioners 1
-
Charles Jack, PH.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
5178 Parker Rd
Hamburg, NY 14075-1633
Mailing address
5178 Parker Rd
Hamburg, NY 14075-1633
Phone (716) 598-8827
Other names
- BHCofWNY
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- Jodie Jean Bettcher
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All providers in Hamburg, NY · Clinical Psychologist 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 Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.