Shannon K Birmingham (NPI# 1336428259, PAC ID# 5395961668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1336428259 |
| PAC ID by PECOS | 5395961668 |
| Professional Enrollment ID | I20140722001646 |
| Full Name | Shannon K Birmingham |
| Organization Legal Name | PSYCHOLOGICAL HEALTHCARE, PLLC |
| Address |
890 7th N St Suite 200 Liverpool NY 13088-6558 |
| Phone Number | 3152001056 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 7416860572 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330203 | CROUSE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 890 7th N St, Suite 200, Liverpool, NY 13088-6558 | 3152001056 | PSYCHOLOGICAL HEALTHCARE, PLLC |
| 600 E Genesee St, Suite 217, Syracuse, NY 13202-3108 | 3154220300 | PSYCHOLOGICAL HEALTHCARE, PLLC |
| Organization Legal Name | PSYCHOLOGICAL HEALTHCARE, PLLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra S Delvecchio | Clinical Social Worker | Psychological Healthcare, Pllc | 8289 Loop Rd, Baldwinsville, NY 13027-1304 |
| Mark A Ginsberg | Psychologist, Clinical | Psychological Healthcare, Pllc | 3300 James St, Suite 100, Syracuse, NY 13206-2392 |
| Robert Foresti | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Felicie Meling | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| David A Cannucciari | Clinical Social Worker | Psychological Healthcare, Pllc | 600 E Genesee St, Suite 217, Syracuse, NY 13202-3108 |
| Nadine M Cuffy | Psychologist, Clinical | Psychological Healthcare, Pllc | 600 E Genesee St, Suite 217, Syracuse, NY 13202-3108 |
| Marilyn D Murphy | Psychologist, Clinical | Psychological Healthcare, Pllc | 600 E Genesee St, Suite 217, Syracuse, NY 13202-3108 |
| David A Blair | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Antonietta M Chairmonte | Clinical Social Worker | Psychological Healthcare, Pllc | 600 E Genesee St, Suite 217, Syracuse, NY 13202-3108 |
| Panayotis L Petrou | Psychologist, Clinical | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Street Address |
890 7TH N ST SUITE 200 |
| City | LIVERPOOL |
| State | NY |
| Zip | 13088-6558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Foresti | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Felicie Meling | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| David A Blair | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Panayotis L Petrou | Psychologist, Clinical | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Susan W Fabian | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Mary E Bartek | Psychologist, Clinical | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Joel L Richman | Psychologist, Clinical | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Denise Frampton-pearsall | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Diana L D Eredita | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Ann M Wahl | Clinical Social Worker | Psychological Healthcare, Pllc | 890 7th N St, Suite 200, Liverpool, NY 13088-6558 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly M Finn | Nurse Practitioner | Familycare Medical Group PC | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 |
| Deborah J Freeman | Nurse Practitioner | Familycare Medical Group PC | 4820 W Taft Rd, Suite 108, Liverpool, NY 13088-2800 |
| Frederick M Farrar | Diagnostic Radiology | Cny Diagnostic Imaging Assoc | 4820 W Taft Rd, Suite 114, Liverpool, NY 13088-2805 |
| Hooman Ranjbaran Jahromi | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Nelly Y Kazzaz | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Ayman S Iskander | Cardiovascular Disease (cardiology) | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Tina Winter | Nurse Practitioner | St Josephs Medical PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Ross W Trent | Physician Assistant | S J H Cardiac Catheterization Associates PC | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2806 |
| Abraham M Masara | Nurse Practitioner | 4756 Summerhurst Dr, Liverpool, NY 13088-3622 | |
| Robert A Dracker | Pediatric Medicine | 4811 Buckley Rd, Liverpool, NY 13088-3629 | |
| Find all physicians in zip 13088 | |||
| City | LIVERPOOL |
| Zip Code | 13088 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LIVERPOOL + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Shannon K Birmingham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.