OrganizationMagellan Behavioral HealthSocial WorkerBehavioral Health & Social Service ProvidersPractice Address235 Mamaroneck Ave, Ste. 103, White Plains, NY 10605-1315(914) 390-3471PECOS EnrollmentBased on the most recent information from CMS, provider Magellan Behavioral Health does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1275737579Provider TypeOrganizationFull NameMagellan Behavioral HealthSubpartNoEnumeration Date6/12/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address235 Mamaroneck Ave, Ste. 103, White Plains, NY 10605-1315Phone(914) 390-3471Fax(914) 682-0144Mailing LocationMailing Address235 Mamaroneck Ave, Ste. 103, White Plains, NY 10605-1315Phone(914) 390-3471Fax(914) 682-0144Authorized OfficialNameFrison, Laffette (District Eap Consultant)Phone(914) 390-3471Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicensePRO19264-1New York