Provider Demographics
NPI:1710656350
Name:NEW HOPE PSYCHOLOGY AND NURSE PRACTITIONER-PSYCHIATRY SERVICES, PLLC
Entity Type:Organization
Organization Name:NEW HOPE PSYCHOLOGY AND NURSE PRACTITIONER-PSYCHIATRY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/PART OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCARANO-OSIKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-744-7978
Mailing Address - Street 1:5 PINE ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3502
Mailing Address - Country:US
Mailing Address - Phone:518-745-0079
Mailing Address - Fax:518-745-4291
Practice Address - Street 1:125 BROAD STREET
Practice Address - Street 2:ONE BROAD STREET PLAZA
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801
Practice Address - Country:US
Practice Address - Phone:518-745-0079
Practice Address - Fax:518-745-4291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty