| Behavioral Health Clininc (bhc) | |
|
2310 N Charles St Baltimore MD 21218-5127 | |
| (410) 844-4110 | |
| Not Available |
| Full Name | Behavioral Health Clininc (bhc) |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2310 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Nag Nelluri (PRESIDENT) |
| Authorized Official Contact | 4439954113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Clininc (bhc) 2310 N Charles St Baltimore MD 21218-5127 Ph: (410) 844-4110 | Behavioral Health Clininc (bhc) 2310 N Charles St Baltimore MD 21218-5127 Ph: (410) 844-4110 |
| NPI Number | 1689042541 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 04/22/2016 |
| Medicare PECOS PAC ID | 0547517526 |
|---|---|
| Medicare Enrollment ID | O20180723000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689042541 | NPI | - | NPPES |
| 1689042541 | Other | MD | NPI NUMBER # |
| 4239041-00 | Medicaid | MD | |
| 4233417-00 | Medicaid | MD | |
| 1053719575 | Other | MD | NPI NUMBER |
| Provider Name | Lisa Ellen Sjodin-feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023057890 PECOS PAC ID: 0648290445 Enrollment ID: I20051122000760 |
| Provider Name | Ugandhar Vemulapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578599130 PECOS PAC ID: 7618034729 Enrollment ID: I20090317000265 |
| Provider Name | Lawrence W Adler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871681189 PECOS PAC ID: 7113071986 Enrollment ID: I20110114000062 |
| Provider Name | Jennifer W Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093120677 PECOS PAC ID: 2567736812 Enrollment ID: I20170925003135 |
| Provider Name | Olayemi Olajuyigbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073170205 PECOS PAC ID: 8820320880 Enrollment ID: I20191024002992 |
| Provider Name | Victoria Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114755 PECOS PAC ID: 7012341613 Enrollment ID: I20200107000148 |
| Provider Name | Adeniran Adeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235779612 PECOS PAC ID: 9638581135 Enrollment ID: I20201207000949 |
| Provider Name | Bola Osunkiyesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427651561 PECOS PAC ID: 4880001585 Enrollment ID: I20220217000303 |
| Provider Name | Eyamba Archibong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689138778 PECOS PAC ID: 5092174433 Enrollment ID: I20230704000051 |
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