TERESA MENKE HARGRAVE MD MPH FAAP NPI 1639132079

NPI Information

NPI: 1639132079
Provider Name: TERESA MENKE HARGRAVE, MD, MPH, FAAP
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
742 JAMES ST
SYRACUSE, NY
ZIP 13203
Phone: (315) 703-2800
Get Directions

Teresa Menke Hargrave, MD, MPH, FAAP is a child and adolescent psychiatry psychiatry neurology in Syracuse, NY. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Teresa Menke Hargrave, MD, MPH, FAAP NPI is 1639132079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

742 JAMES ST
SYRACUSE, NY
ZIP 13203-017
Phone: (315) 703-2800
Fax: (315) 703-2885

The NPI 1639132079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 7/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		117677	NEW YORK	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	117677	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	BB9426	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	01076113	MEDICAID	NEW YORK
3	E03076	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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