| Animo Sano Psychiatry Pllc | |
|
5501 Fortunes Ridge Dr Ste P Durham NC 27713-6102 | |
| (919) 391-7202 | |
| (919) 391-7203 |
| Full Name | Animo Sano Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5501 Fortunes Ridge Dr Ste P, Durham, North Carolina |
| Authorized Official Name and Position | Mina Boazak (FOUNDER AND MEDICAL DIRECTOR) |
| Authorized Official Contact | 9193917202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Animo Sano Psychiatry Pllc 5501 Fortunes Ridge Dr Ste P Durham NC 27713-6102 Ph: (919) 391-7202 | Animo Sano Psychiatry Pllc 5501 Fortunes Ridge Dr Ste P Durham NC 27713-6102 Ph: (919) 391-7202 |
| NPI Number | 1568043537 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Medicare PECOS PAC ID | 8729489182 |
|---|---|
| Medicare Enrollment ID | O20210623002788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568043537 | NPI | - | NPPES |
| Provider Name | Karen Lynn Melendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184675977 PECOS PAC ID: 8022170711 Enrollment ID: I20081213000228 |
| Provider Name | Pamela E Reid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225081060 PECOS PAC ID: 6608927769 Enrollment ID: I20090630000645 |
| Provider Name | Lauren Scott Easley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821356643 PECOS PAC ID: 0446482897 Enrollment ID: I20190306000016 |
| Provider Name | Mina Boazak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104209329 PECOS PAC ID: 5698039949 Enrollment ID: I20191113002840 |
| Provider Name | Caleb Alan Whitenack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770872160 PECOS PAC ID: 2961626692 Enrollment ID: I20200727001896 |
| Provider Name | Vijay Swahari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184087637 PECOS PAC ID: 2567755366 Enrollment ID: I20201218001452 |
| Provider Name | Brenda E Mullis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700468287 PECOS PAC ID: 1850790551 Enrollment ID: I20210601000382 |
| Provider Name | Jordan Layne Espersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023685716 PECOS PAC ID: 5193129567 Enrollment ID: I20210806000855 |
| Provider Name | Mackenzie Kirchner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144858515 PECOS PAC ID: 0547641813 Enrollment ID: I20230317002496 |
| Provider Name | Ayumi Nakamura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215434733 PECOS PAC ID: 9931569944 Enrollment ID: I20230721000619 |
| Provider Name | Charlotte Sime |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962870261 PECOS PAC ID: 4688039910 Enrollment ID: I20240130000013 |
| Provider Name | Kelly Sheppard Pruitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962172916 PECOS PAC ID: 5395183701 Enrollment ID: I20240404001598 |
| Provider Name | Esther Tepfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902674898 PECOS PAC ID: 6406299205 Enrollment ID: I20240408001756 |
| Provider Name | Sindhura Kunaparaju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336678796 PECOS PAC ID: 2062851090 Enrollment ID: I20240423002991 |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Milicia Tedder Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Spring Creek Dr, Durham, NC 27704 Phone: 919-697-1674 |