Organization · Type 2 NPI
Va Medical Center Bath Ny
Intellectual & Developmental Disabilities Psychologist · Bath, NY
NPI number
1629097274
Active
Practice location
76 Veterans Ave, Behavioral Health Room 511D
Bath, NY 14810-0810
Mailing address
104 Texas Ln
Ithaca, NY 14850-1755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 94-27P (AR) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 94-27P (AR) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 94-27P (AR) |
| Clinical Psychologist | 103TC0700X | 94-27P (AR) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 94-27P (AR) |
| Group Psychotherapy Psychologist | 103TP2701X | 94-27P (AR) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
141 other providers at this address
- Buffalo VamcGeneral Acute Care Hospital Bath, NY NPI 1609825702
- Buffalo VamcDepartment of Veterans Affairs (VA) Pharmacy Bath, NY NPI 1952368078
- Loyola Recovery Foundation, Inc.Substance Abuse Rehabilitation Facility Bath, NY NPI 1134294978
- Aimee Lynne Stanislawski, MDPsychiatry Physician Bath, NY NPI 1376657189
- Alipio F. Encarnacion, MDInternal Medicine Physician Bath, NY NPI 1447215553
- Amanda C. Strobel, LMSWSocial Worker Bath, NY NPI 1891305702
- Amanda L. SchultzSocial Worker Bath, NY NPI 1093688988
- Amanda Victoria Loomis, PharmDPharmacist Bath, NY NPI 1316552862
- Anastasia Zyuban, PhDPsychologist Bath, NY NPI 1215351465
- Andrea Lynn Barber, LMSWSocial Worker Bath, NY NPI 1336644855
- Andrew Christopher Scardina, LMSWClinical Social Worker Bath, NY NPI 1407282593
- Ann Louise Howles, LCSWSocial Worker Bath, NY NPI 1255421087
About NPI 1629097274
Va Medical Center Bath Ny's National Provider Identifier is 1629097274, issued on Jul 18, 2006. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Bath, NY. The record was last updated on Sep 11, 2025.