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 provides Psychologist services 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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