Provider Demographics
NPI:1851588495
Name:THERAPY & MEDICATION TREATMENT, PLLC
Entity Type:Organization
Organization Name:THERAPY & MEDICATION TREATMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:NP-PSYCHIATRY
Authorized Official - Phone:914-924-7724
Mailing Address - Street 1:32 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-5065
Mailing Address - Country:US
Mailing Address - Phone:914-924-7724
Mailing Address - Fax:
Practice Address - Street 1:1961 ROUTE 6
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2323
Practice Address - Country:US
Practice Address - Phone:845-225-4707
Practice Address - Fax:845-225-4719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400499-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420795Medicaid
NYW32322Medicare UPIN