Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1285758474
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
301 N WASHINGTON ST
SUITE 2470
HERKIMER, NY 133501216
Phone: (315) 867-1465
Fax: (315) 867-1469
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Exact Sciences Corporation ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 13350)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NY | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | NY | |
| - | NY | |
| Clinical Social Worker | NY | |
| Mental Health Counselor | MA | |
| Clinical Social Worker | NY | |
| - | NY | |
| Clinical Social Worker | NY |
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