TERESA MENKE HARGRAVE MD, MPH, FAAP
NPI 1639132079
Psychiatry & Neurology - Child & Adolescent Psychiatry in Syracuse, NY

Active since April 07, 2006PECOS Enrolled
742 JAMES ST, SYRACUSE, NY 13203(315) 703-2800(315) 703-2885 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Teresa Menke Hargrave Md, Mph, Faap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA MENKE HARGRAVE MD, MPH, FAAP (NPI 1639132079) is an individual child & adolescent psychiatry provider in Syracuse, New York, licensed in New York (117677) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639132079
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameTERESA MENKE HARGRAVECredential: MD, MPH, FAAP
Location Address742 JAMES STSyracuse, NY 13203-2017
Mailing Address742 James StSyracuse, NY 13203-2017 · (315) 703-2800 · Fax (315) 703-2885
Fax(315) 703-2885
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 6, 2009
NPI 1639132079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NY · 117677
Definition

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.

Also ListedPediatricsTaxonomy 208000000X · License 117677 (NY)
742 JAMES ST, Syracuse, NY 13203

Other Identifiers 3

Medicare ID-Type UnspecifiedBB9426NY
Medicaid01076113NY
Medicare UPINE03076NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Teresa Menke Hargrave Md, Mph, Faap is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
742 JAMES ST
SYRACUSE, NY 13203
Psychiatry & Neurology (Psychiatry)
742 JAMES ST, MENTAL HEALTH SERVICES
SYRACUSE, NY 13203
Psychiatry & Neurology (Psychiatry)
742 JAMES ST, CHILD & ADOLESCENT SERVICES
SYRACUSE, NY 13203
Psychiatry & Neurology (Child & Adolescent Psychiatry)
742 JAMES ST
SYRACUSE, NY 13203
Nurse Practitioner (Psychiatric/Mental Health)
742 JAMES ST, OUTPATIENT MENTA HEALTH
SYRACUSE, NY 13203
Social Worker (Clinical)
742 JAMES ST
SYRACUSE, NY 13203
Social Worker (Clinical)
742 JAMES ST, OUTPATIENT MENTAL HEALTH
SYRACUSE, NY 13203
Psychiatry & Neurology (Psychiatry)
742 JAMES ST, OUTPATIENT MENTAL HEALTH SERVICES
SYRACUSE, NY 13203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639132079, enumerated as an "individual" on April 07, 2006.

The provider is located at 742 JAMES ST SYRACUSE, NY 13203 and the phone number is (315) 703-2800.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.