| Bridgehaven Mental Health Services | |
|
950 S 1st St Louisville KY 40203-2288 | |
| (502) 585-9444 | |
| (502) 585-9466 |
| Full Name | Bridgehaven Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 950 S 1st St, Louisville, Kentucky |
| Authorized Official Name and Position | Ramona L Johnson (PRESIDENT/CEO) |
| Authorized Official Contact | 5025859444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgehaven Mental Health Services 950 S 1st St Louisville KY 40203-2288 Ph: (502) 585-9444 | Bridgehaven Mental Health Services 950 S 1st St Louisville KY 40203-2288 Ph: (502) 585-9444 |
| NPI Number | 1093823817 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 03/10/2016 |
| Medicare PECOS PAC ID | 9436122629 |
|---|---|
| Medicare Enrollment ID | O20040816001372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093823817 | NPI | - | NPPES |
| 7100340960 | Medicaid | KY | |
| 213150000 | Other | KY | MAGELLAN |
| 30606099 | Medicaid | KY | |
| 318961 | Other | KY | VALUE OPTIONS |
| Provider Name | Trudy L North-wollak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033248067 PECOS PAC ID: 8921183120 Enrollment ID: I20080312000412 |
| Provider Name | Deborah M Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144375627 PECOS PAC ID: 9032235015 Enrollment ID: I20100928000174 |
| Provider Name | Bruce J Behney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558416073 PECOS PAC ID: 2961528989 Enrollment ID: I20100928000601 |
| Provider Name | Mary Angela Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891840542 PECOS PAC ID: 9234102427 Enrollment ID: I20101022000164 |
| Provider Name | David M Sisk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780739441 PECOS PAC ID: 1052504057 Enrollment ID: I20101022000561 |
| Provider Name | Beatriz Ortega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245372093 PECOS PAC ID: 7911196449 Enrollment ID: I20110113000866 |
| Provider Name | Joanna L Nahinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093829285 PECOS PAC ID: 7911187828 Enrollment ID: I20110210000159 |
| Provider Name | Gloria M Everidge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265587067 PECOS PAC ID: 7911190715 Enrollment ID: I20110331000926 |
| Provider Name | Linda R Luking |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578740320 PECOS PAC ID: 8628397478 Enrollment ID: I20150429002358 |
| Provider Name | Ruby Mccleskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679903710 PECOS PAC ID: 1052627205 Enrollment ID: I20150902001200 |
| Provider Name | Mary C Mcandrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033440029 PECOS PAC ID: 1951615996 Enrollment ID: I20150924000458 |
| Provider Name | Theresa G Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902845241 PECOS PAC ID: 0648565663 Enrollment ID: I20160829003103 |
| Provider Name | Misty Dawn Gittings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477896454 PECOS PAC ID: 0042600272 Enrollment ID: I20211202001594 |
| Provider Name | Molly Rucks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003194192 PECOS PAC ID: 2567809494 Enrollment ID: I20240327000945 |
| Provider Name | Allison Apprill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245585637 PECOS PAC ID: 9537508551 Enrollment ID: I20240423002589 |
| Provider Name | Theodore Lineberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831979533 PECOS PAC ID: 4981044609 Enrollment ID: I20240429002519 |
| Provider Name | Yolonda Lysle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548897358 PECOS PAC ID: 2264874791 Enrollment ID: I20240529001632 |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |