Amy Carol Ice, MD
Individual provider Active NPI Psychiatry Physician · GT Barrington, MA
NPI 1912967936 · NPPES record last updated Feb 9, 2009
Key facts
- NPI
- 1912967936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 219614 (MA)
- Practice address
- 20 Lewis Avenue
GT Barrington, MA 01230 - Phone
- (413) 528-1845
- Fax
- (413) 528-3667
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602000267 | NY | Practitioner - Psychiatry | 0547169096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glens Falls Hospital Inc | Current |
Accepting new patients | |
| Dennis Marcus MD PC | Psychiatry | Past | Accepting new patients |
| South County Psychiatric & Psychotherapy Center | Psychiatry | Past |
Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Physical Therapy of Valatie, PC | Past |
Accepting new patients | |
| Columbia Memorial Hospital | Past | Accepting new patients |
Locations
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- aice1421795@nychhc.direct-ci.com
- huvsaci@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 219614 | MA | Yes |
| Psychiatry Physician | 2084P0800X | 190624 | NY |
Addresses
Primary practice location
20 Lewis Avenue
GT Barrington, MA 01230
Mailing address
20 Lewis Avenue
GT Barrington, MA 01230
Phone (413) 528-1845
Other providers in GT Barrington, MA
- Lois Gennari
- Mani George
- Great Barrington Health Services, Inc.
- Sharyn A Hickey
- Betty Dean Hydon
- Jay B Kain
- Jane Laning
- Kimberly A Logan
- Leslie Marcus
- Patricia F McKeon
All providers in GT Barrington, MA · Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2009. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.