| Belmont Psychiatric Services Llc | |
|
500 Mackey Avenue Suite 100 Martins Ferry OH 43935-1697 | |
| (740) 635-7792 | |
| (740) 635-7755 |
| Full Name | Belmont Psychiatric Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 500 Mackey Avenue, Martins Ferry, Ohio |
| Authorized Official Name and Position | Carmel C Shaw Nieves (OWNER CEO) |
| Authorized Official Contact | 7406357792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belmont Psychiatric Services Llc 500 Mackey Avenue Suite 100 Martins Ferry OH 43935-1697 Ph: (740) 635-7792 | Belmont Psychiatric Services Llc 500 Mackey Avenue Suite 100 Martins Ferry OH 43935-1697 Ph: (740) 635-7792 |
| NPI Number | 1760527394 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Medicare PECOS PAC ID | 2961576350 |
|---|---|
| Medicare Enrollment ID | O20080804000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760527394 | NPI | - | NPPES |
| 0130405 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sallie Beth Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235112251 PECOS PAC ID: 2365475076 Enrollment ID: I20080804000262 |
| Provider Name | Jeremy Abraham Schreiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508234147 PECOS PAC ID: 9537469762 Enrollment ID: I20151119002439 |
| Provider Name | Haygen Ekaterina Mowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053824177 PECOS PAC ID: 7315205598 Enrollment ID: I20171215001820 |
| Provider Name | Betty L Edmundson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174531073 PECOS PAC ID: 3870582950 Enrollment ID: I20210329002460 |
Kendall Behavioral Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Walnut Street, Martins Ferry, OH 43935 Phone: 740-609-5072 Fax: 740-609-5073 | |
Riverview Center For Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Mackey Ave, Martins Ferry, OH 43935 Phone: 740-635-7757 Fax: 740-635-7755 |