CONSULTATION SERVICES OF CENTRAL NEW YORK - MEDICINE PROVIDER, PLLC (NPI# 1205089992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205089992 |
| Entity Type | Organization |
| Organization Name | CONSULTATION SERVICES OF CENTRAL NEW YORK - MEDICINE PROVIDER, PLLC |
| Practice Address |
7030 E Genesee St Suite 109 Fayetteville NY 13066-1121 |
| Practice Telephone | 3155606919 |
| Mailing Telephone | 3155606919 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | DR. MATTHEW HENRY ROSA (OWNER) |
| Authorized Official Telephone | 3155606919 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
7030 E GENESEE ST SUITE 109 |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245274398 | Jud Staller | Psychiatry & Neurology | 7030 E Genesee St, Fayetteville, NY 13066-1121 | 2006-06-16 |
| 1275839821 | Niamh Doyle | Psychologist | 7030 E Genesee St, Fayetteville, NY 13066-1121 | 2011-01-31 |
| 1568635290 | Maria Ditullio | Counselor | 7030 E Genesee St, Fayetteville, NY 13066-1121 | 2008-04-02 |
| 1780893792 | Matthew Henry Rosa | Psychiatry & Neurology | 7030 E Genesee St, Suite 109, Fayetteville, NY 13066-1121 | 2007-05-22 |
| 1386857217 | Jill Weldum | Marriage & Family Therapist | 7030 E Genesee St, Fayetteville, NY 13066-1121 | 2007-05-07 |
| 1487792438 | Lynn Carol Koss | Speech-Language Pathologist | 7030 E Genesee St, The White House Professional Offices, Fayetteville, NY 13066-1121 | 2007-02-02 |
| 1982793824 | Cornelia Maria Buur | Social Worker | 7030 E Genesee St, Fayetteville, NY 13066-1121 | 2006-10-11 |
| 1063509552 | Tracy A Lunney | Counselor | 7030 E Genesee St, Fayetteville, NY 13066-1121 | 2006-10-06 |
| 1265455620 | Mary Elizabeth Jeannotte | Psychologist | 7030 E Genesee St, Fayetteville, NY 13066 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1538621602 | A New Beginning for Families Inc | Clinic/Center | 500 Lanier Ave W Ste Aoffice7, Fayetteville, GA 30214-7636 | 2019-04-05 |
| 1386920049 | Point Momentum, P.l.l.c. | Clinic/Center | 4257 Gabel Drive, Fayetteville, AR 72703 | 2011-10-26 |
| 1669606448 | Sunrise Specialty Clinic | Clinic/Center | 709 Hay St, Fayetteville, NC 28301-5423 | 2009-05-08 |
| 1073647392 | Professional Family Care Services, Inc. | Clinic/Center | 350 Wagoner Dr, Suite 103, Fayetteville, NC 28303-4678 | 2007-03-16 |
| 1811032022 | S & T Wecare Community Support | Clinic/Center | 401 Offing Dr, Fayetteville, NC 28314-1043 | 2007-02-21 |
| 1063564003 | Unity Home Care, Inc | Clinic/Center | 211 Fairway Dr, Suite, Fayetteville, NC 28305-5571 | 2007-01-18 |
| 1104882547 | Northwest Counseling & Social Work Services, Inc | Clinic/Center | 111 E Davidson St, Fayetteville, AR 72701-3413 | 2006-04-25 |
| 1558978858 | Day By Day: A Center for Health and Healing | Clinic/Center | 215 N East Ave Ste 102, Fayetteville, AR 72701-5296 | 2020-09-30 |
| 1609482439 | Centerstone of Tennesse Inc. | Clinic/Center | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-09-17 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on CONSULTATION SERVICES OF CENTRAL NEW YORK - MEDICINE PROVIDER, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.