Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

VA Medical Center Bath Ny

Organization Psychologist · NPI 1629097274

VA Medical Center Bath Ny is a Psychologist in Bath, New York. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
Specialties on file
6

Practice location Address checks out

76 Veterans Ave Behavioral Health Rm 511D
Bath, NY 14810-0810
Phone: (607) 664-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X · Licence 94-27P (AR)
Psychologist Taxonomy 103T00000X · Licence 94-27P (AR)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 94-27P (AR)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 94-27P (AR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 94-27P (AR)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 94-27P (AR)

Record details

NPI number1629097274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Lawson — Clinical Psychologist · (607) 664-4305
NPI enumeratedJuly 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address104 Texas Ln, Ithaca, NY 14850-1755

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