Advanced Recovery Concepts Llc | |
25700 Science Park Dr Ste 210 Beachwood OH 44122-7328 | |
(216) 450-1613 | |
(216) 450-1614 |
Full Name | Advanced Recovery Concepts Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 25700 Science Park Dr Ste 210, Beachwood, Ohio |
Authorized Official Name and Position | Amit Mohan (OWNER) |
Authorized Official Contact | 2164501613 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Recovery Concepts Llc 25700 Science Park Dr Ste 210 Beachwood OH 44122-7328 Ph: (216) 450-1613 | Advanced Recovery Concepts Llc 25700 Science Park Dr Ste 210 Beachwood OH 44122-7328 Ph: (216) 450-1613 |
NPI Number | 1619348414 |
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Provider Enumeration Date | 10/19/2015 |
Last Update Date | 09/17/2020 |
Certification Date | 09/17/2020 |
Medicare PECOS PAC ID | 5991005860 |
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Medicare Enrollment ID | O20151125000337 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619348414 | NPI | - | NPPES |
0148022 | Medicaid | OH |
Provider Name | Boris Royak |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528091899 PECOS PAC ID: 7719971530 Enrollment ID: I20040413001440 |
Provider Name | Marie A Barber |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225141872 PECOS PAC ID: 6204965825 Enrollment ID: I20100520000010 |
Provider Name | Danielle N Sims |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1952499105 PECOS PAC ID: 8022140656 Enrollment ID: I20100719000094 |
Provider Name | William E Goldman |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1508082447 PECOS PAC ID: 1254464431 Enrollment ID: I20100809001094 |
Provider Name | Amit Mohan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821219841 PECOS PAC ID: 2668530387 Enrollment ID: I20120105000801 |
Provider Name | Veronica K Baker |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1164865341 PECOS PAC ID: 5597902957 Enrollment ID: I20130503000032 |
Provider Name | Brookana Bonezzi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225462641 PECOS PAC ID: 7810219201 Enrollment ID: I20150522002395 |
Provider Name | Ashley Laughlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760866768 PECOS PAC ID: 8426333816 Enrollment ID: I20170327002925 |
Provider Name | Rhonda Casto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396148235 PECOS PAC ID: 5597083485 Enrollment ID: I20171012002769 |
Provider Name | Brittany Lynn Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124532445 PECOS PAC ID: 3971865833 Enrollment ID: I20180313002017 |
Provider Name | Praveena Prasai Berlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285067355 PECOS PAC ID: 1557595733 Enrollment ID: I20180822001933 |
Provider Name | Angela Park |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407349236 PECOS PAC ID: 9830428267 Enrollment ID: I20190911000800 |
Provider Name | Shayna Glista |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679125876 PECOS PAC ID: 4981039047 Enrollment ID: I20200117000686 |
Provider Name | Emily L Sykes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043674799 PECOS PAC ID: 6103119656 Enrollment ID: I20200714002968 |
Provider Name | Yassin Ismat Ghanem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689286726 PECOS PAC ID: 4688093743 Enrollment ID: I20200923002381 |
Provider Name | Rachel Krakora |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831634377 PECOS PAC ID: 1153733043 Enrollment ID: I20201217002348 |
Provider Name | Kelly Nicole Montgomery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609466770 PECOS PAC ID: 8820404155 Enrollment ID: I20210310001987 |
Provider Name | Jillian M Lassen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326613852 PECOS PAC ID: 8921402488 Enrollment ID: I20210804004144 |
Provider Name | Chavon N Willis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346841350 PECOS PAC ID: 5698167435 Enrollment ID: I20220127002891 |
Provider Name | Susan Marie Mcausland |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073093126 PECOS PAC ID: 0840674123 Enrollment ID: I20220906001648 |
Provider Name | Reema Boyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902494057 PECOS PAC ID: 3971987074 Enrollment ID: I20220908000309 |
Provider Name | Merissa Ann Durda |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598300352 PECOS PAC ID: 7012392921 Enrollment ID: I20220913002901 |
Provider Name | Laurel A Hurst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871245910 PECOS PAC ID: 7911383716 Enrollment ID: I20221003000137 |
Provider Name | Joel Dey |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053815167 PECOS PAC ID: 3375899305 Enrollment ID: I20221026001362 |
Provider Name | Marian Zgodinski |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649739657 PECOS PAC ID: 5496082455 Enrollment ID: I20221213000741 |
Provider Name | Graham Hughes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639632557 PECOS PAC ID: 0446585673 Enrollment ID: I20230530000492 |
Provider Name | Brandi Cihlar |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245623172 PECOS PAC ID: 4082065230 Enrollment ID: I20240111003735 |
Provider Name | Matthew D Coffman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053386094 PECOS PAC ID: 6608228119 Enrollment ID: I20240120000211 |
Provider Name | Nadira Bartlebaugh |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407121510 PECOS PAC ID: 5496107609 Enrollment ID: I20240123002894 |
Provider Name | Linda M Clark |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083960827 PECOS PAC ID: 2062865231 Enrollment ID: I20240124003426 |
Provider Name | Sylvia M Viola |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982849592 PECOS PAC ID: 7012360688 Enrollment ID: I20240130003505 |
Provider Name | Crystal Louise Mann |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639686918 PECOS PAC ID: 9133502867 Enrollment ID: I20240201003737 |
Provider Name | Cassandra F Goodman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174944656 PECOS PAC ID: 5496198715 Enrollment ID: I20240202003750 |
Provider Name | Brian Mausser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396518429 PECOS PAC ID: 6103260062 Enrollment ID: I20240219002731 |
Provider Name | Sally Ann Dingman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376301820 PECOS PAC ID: 2668811654 Enrollment ID: I20240424000870 |
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