| Astra Behavioral Health Llc | |
|
2000 Ring Rd Elizabethtown KY 42701-9454 | |
| (270) 506-2730 | |
| Not Available |
| Full Name | Astra Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2000 Ring Rd, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Muhammad Wasim Sajid (MD-OWNER) |
| Authorized Official Contact | 5026459054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Astra Behavioral Health Llc Po Box 340 Elizabethtown KY 42702-0340 Ph: (270) 506-2730 | Astra Behavioral Health Llc 2000 Ring Rd Elizabethtown KY 42701-9454 Ph: (270) 506-2730 |
| NPI Number | 1922427517 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 0749406577 |
|---|---|
| Medicare Enrollment ID | O20140730002637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922427517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Ingrid Hertha Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952357774 PECOS PAC ID: 5395770325 Enrollment ID: I20050928001208 |
| Provider Name | Melony K Cundiff-adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477592293 PECOS PAC ID: 4688699929 Enrollment ID: I20051006000181 |
| Provider Name | Sherri L Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922195445 PECOS PAC ID: 7719073881 Enrollment ID: I20071020000021 |
| Provider Name | Muhammad W Sajid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801825500 PECOS PAC ID: 3971537317 Enrollment ID: I20080820000532 |
| Provider Name | Sarwat N Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629186853 PECOS PAC ID: 8325102296 Enrollment ID: I20090122000136 |
| Provider Name | Regina L Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841259272 PECOS PAC ID: 0244380327 Enrollment ID: I20090611000174 |
| Provider Name | Tiffany T Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740235688 PECOS PAC ID: 4486825981 Enrollment ID: I20110913000716 |
| Provider Name | Angie L Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821174566 PECOS PAC ID: 2860659125 Enrollment ID: I20120130000406 |
| Provider Name | Sandra Teresa Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528327038 PECOS PAC ID: 7719209907 Enrollment ID: I20141124002441 |
| Provider Name | Nicole S Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043587686 PECOS PAC ID: 2062725047 Enrollment ID: I20150720002760 |
| Provider Name | Samantha Elizabeth Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487035689 PECOS PAC ID: 0648582148 Enrollment ID: I20151105001603 |
| Provider Name | Sufian Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821352824 PECOS PAC ID: 0244529873 Enrollment ID: I20160520000143 |
| Provider Name | Sarah E Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841743788 PECOS PAC ID: 6608155049 Enrollment ID: I20161108000933 |
| Provider Name | Linda Mccool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914677 PECOS PAC ID: 0042592073 Enrollment ID: I20170126001091 |
| Provider Name | Kimberly Ann Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760890958 PECOS PAC ID: 7214211648 Enrollment ID: I20170303000964 |
| Provider Name | Nicole Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912445651 PECOS PAC ID: 6507092947 Enrollment ID: I20170403000183 |
| Provider Name | Sarah Lynn Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760914139 PECOS PAC ID: 4486931433 Enrollment ID: I20170501001713 |
| Provider Name | Joy Darlene Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710412614 PECOS PAC ID: 0143316398 Enrollment ID: I20170727000391 |
| Provider Name | Virginia R Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417273269 PECOS PAC ID: 3072873132 Enrollment ID: I20180209000912 |
| Provider Name | Amber Nicole Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851821086 PECOS PAC ID: 6901167972 Enrollment ID: I20180308000874 |
| Provider Name | Amy L Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811407000 PECOS PAC ID: 1759645799 Enrollment ID: I20180427002313 |
| Provider Name | Jennifer Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659852556 PECOS PAC ID: 7113278763 Enrollment ID: I20180921000364 |
| Provider Name | Andrea Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508341959 PECOS PAC ID: 0547513236 Enrollment ID: I20181025003139 |
| Provider Name | Elizabeth H Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811243595 PECOS PAC ID: 2860746492 Enrollment ID: I20181116001010 |
| Provider Name | Tracy R Duvall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063850444 PECOS PAC ID: 3375897630 Enrollment ID: I20181126003752 |
| Provider Name | Amanda Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538620356 PECOS PAC ID: 3072855824 Enrollment ID: I20190429000451 |
| Provider Name | Alicia Kay Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194163055 PECOS PAC ID: 5991045189 Enrollment ID: I20190808000538 |
| Provider Name | David Scot Sandage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083276463 PECOS PAC ID: 4789911959 Enrollment ID: I20190809002634 |
| Provider Name | John Paul Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851951818 PECOS PAC ID: 6204166325 Enrollment ID: I20191002002245 |
| Provider Name | Marinda Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457992570 PECOS PAC ID: 1850623570 Enrollment ID: I20191030001973 |
| Provider Name | Melissa J Landram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457714404 PECOS PAC ID: 7618305491 Enrollment ID: I20200309001768 |
| Provider Name | Rachel Ann Klopfenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154798767 PECOS PAC ID: 2466883293 Enrollment ID: I20200512001968 |
| Provider Name | Candice N. Speiden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992223036 PECOS PAC ID: 7012330780 Enrollment ID: I20200714001352 |
| Provider Name | Natasha L Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013464973 PECOS PAC ID: 7911322862 Enrollment ID: I20200810000810 |
| Provider Name | Kristen Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558976803 PECOS PAC ID: 8628497682 Enrollment ID: I20200925000066 |
| Provider Name | Cheri Michelle Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548868268 PECOS PAC ID: 0446670087 Enrollment ID: I20201020001107 |
| Provider Name | Sandra L Aubrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538202817 PECOS PAC ID: 3971917287 Enrollment ID: I20210128000551 |
| Provider Name | Donald Edward Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174294227 PECOS PAC ID: 8123426426 Enrollment ID: I20211015002409 |
| Provider Name | Samantha Ruth Flint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629457486 PECOS PAC ID: 3173913597 Enrollment ID: I20211129001698 |
| Provider Name | Erin Leet Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649746827 PECOS PAC ID: 2961897699 Enrollment ID: I20220316001725 |
| Provider Name | Dawn Terrigino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114672102 PECOS PAC ID: 2365839156 Enrollment ID: I20220426000903 |
| Provider Name | Jennifer Aline Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518424712 PECOS PAC ID: 5991181430 Enrollment ID: I20221006000510 |
| Provider Name | Jessica Marie Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770247355 PECOS PAC ID: 3375914112 Enrollment ID: I20230113001880 |
| Provider Name | Christie Anderson Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154033587 PECOS PAC ID: 2961873153 Enrollment ID: I20230126001401 |
| Provider Name | Darlena Kay Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710675350 PECOS PAC ID: 4981067378 Enrollment ID: I20230901001041 |
| Provider Name | Susan Laverne Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356113427 PECOS PAC ID: 0345697157 Enrollment ID: I20231115001582 |
| Provider Name | Morgan Margiotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306612692 PECOS PAC ID: 7012367758 Enrollment ID: I20231221001593 |
| Provider Name | Gina W Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427828706 PECOS PAC ID: 4183077027 Enrollment ID: I20240127000261 |
| Provider Name | Erin Elizabeth Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104596261 PECOS PAC ID: 2860846243 Enrollment ID: I20240219002790 |
| Provider Name | Claire Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407130776 PECOS PAC ID: 9032555396 Enrollment ID: I20240308000700 |
| Provider Name | Cynthia O Jacobi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932350634 PECOS PAC ID: 5294171401 Enrollment ID: I20240311001990 |
| Provider Name | Erica Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194421016 PECOS PAC ID: 9032555719 Enrollment ID: I20240316000197 |
| Provider Name | Bethany Aleece Gibson Payton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891137717 PECOS PAC ID: 5698112977 Enrollment ID: I20240321003728 |
| Provider Name | Darren W. Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871045211 PECOS PAC ID: 0446696959 Enrollment ID: I20240325001216 |
| Provider Name | Shawn Thomas Benningfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033468525 PECOS PAC ID: 1557701356 Enrollment ID: I20240426001521 |
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