| Alepix Behavioral Clinic Professional Corporation | |
|
25 N Thompson Ln Ste E Irwin PA 15642-9305 | |
| (724) 382-4941 | |
| (724) 590-5121 |
| Full Name | Alepix Behavioral Clinic Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 N Thompson Ln Ste E, Irwin, Pennsylvania |
| Authorized Official Name and Position | Mallory Nicole Clary (OFFICE MANAGER) |
| Authorized Official Contact | 7243824941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alepix Behavioral Clinic Professional Corporation 27 N Thompson Ln Ste B Irwin PA 15642-9314 Ph: (724) 382-4941 | Alepix Behavioral Clinic Professional Corporation 25 N Thompson Ln Ste E Irwin PA 15642-9305 Ph: (724) 382-4941 |
| NPI Number | 1043849086 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Medicare PECOS PAC ID | 8820401896 |
|---|---|
| Medicare Enrollment ID | O20210112001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043849086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Geith H Shahoud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346229291 PECOS PAC ID: 7719954452 Enrollment ID: I20080226000290 |
| Provider Name | Raj A Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699978163 PECOS PAC ID: 7416113790 Enrollment ID: I20120801000253 |
| Provider Name | Kaitland Shuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215459359 PECOS PAC ID: 9931474418 Enrollment ID: I20171010000214 |
| Provider Name | Linsey Marie Osborne-hixson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942896881 PECOS PAC ID: 1153738257 Enrollment ID: I20210407000377 |
| Provider Name | Brittany Stoken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760023949 PECOS PAC ID: 1951704709 Enrollment ID: I20210730001990 |
| Provider Name | Nicole Hurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710438791 PECOS PAC ID: 1658760459 Enrollment ID: I20211117001029 |
| Provider Name | Rayannon S Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699423525 PECOS PAC ID: 4486032653 Enrollment ID: I20220531000435 |
| Provider Name | Danielle Sandusky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841200979 PECOS PAC ID: 5496190779 Enrollment ID: I20240226003879 |
| Provider Name | Gregory Dinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396488102 PECOS PAC ID: 6204271950 Enrollment ID: I20240304002476 |
| Provider Name | Jennifer Clegg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457689184 PECOS PAC ID: 2769831718 Enrollment ID: I20240319002705 |
| Provider Name | Siix Mangery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043089550 PECOS PAC ID: 5294186730 Enrollment ID: I20240613002130 |
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