BEACON PSYCHOLOGICAL SERVICES (NPI# 1306246376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306246376 |
| Entity Type | Organization |
| Organization Name | BEACON PSYCHOLOGICAL SERVICES |
| Practice Address |
317 W 1st St Suite 112 Oswego NY 13126-3623 |
| Practice Telephone | 3153425941 |
| Practice Fax Number | 3153432915 |
| Mailing Telephone | 3153425941 |
| Mailing Fax Number | 3153432915 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | DR. SCOTT PEALE MOONEY (PSYCHOLOGIST) |
| Authorized Official Telephone | 3153425941 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990685 | Beacon Psychological Services | Psychologist | 33150 Schoolcraft Rd Ste L03, Livonia, MI 48150-1631 | 2019-06-10 |
| 1205904836 | Beacon Psychological Services | Psychologist | 600 Beacon Pkwy W, Suite 850, Birmingham, AL 35209-3120 | 2006-12-01 |
| Street Address |
317 W 1ST ST SUITE 112 |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285023192 | Daskalakis Psychological Services, PC | Psychologist | 317 W 1st St, Suite 112, Oswego, NY 13126-3623 | 2015-01-15 |
| 1487055521 | Mooney Psychological Services, PC | Psychologist | 317 W 1st St, Oswego, NY 13126-3623 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609055672 | Theodore Mark Morey | Psychologist | 1085 County Route 20, Oswego, NY 13126-5669 | 2007-10-26 |
| 1033204375 | Scott Peale Mooney | Psychologist | 112 E Bridge St, Oswego, NY 13126-2259 | 2006-10-03 |
| 1649280355 | Linda Sue Gump | Psychologist | 46 E Oneida St, Oswego, NY 13126-2218 | 2006-08-08 |
| 1285023192 | Daskalakis Psychological Services, PC | Psychologist | 317 W 1st St, Suite 112, Oswego, NY 13126-3623 | 2015-01-15 |
| 1487055521 | Mooney Psychological Services, PC | Psychologist | 317 W 1st St, Oswego, NY 13126-3623 | 2014-09-09 |
| 1598931578 | Port City Psychotherapy and Psychological Services | Psychologist | 46 E Oneida St, Oswego, NY 13126-2218 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.