| Center For Behavioral Health And Sleep Disorders | |
|
805 E Washington St Ste 200 Medina OH 44256-3331 | |
| (234) 564-6646 | |
| (234) 517-6646 |
| Full Name | Center For Behavioral Health And Sleep Disorders |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 805 E Washington St Ste 200, Medina, Ohio |
| Authorized Official Name and Position | Kamala S Adury (OWNER OF ENTITY) |
| Authorized Official Contact | 2345646646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health And Sleep Disorders 3364 Prairie Vista Ct Richfield OH 44286-9079 Ph: (234) 564-6646 | Center For Behavioral Health And Sleep Disorders 805 E Washington St Ste 200 Medina OH 44256-3331 Ph: (234) 564-6646 |
| NPI Number | 1861077265 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 11/22/2021 |
| Medicare PECOS PAC ID | 3072920982 |
|---|---|
| Medicare Enrollment ID | O20210319002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861077265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Kamala S Adury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619142387 PECOS PAC ID: 9133266992 Enrollment ID: I20091027000659 |
| Provider Name | Adriane G Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336444389 PECOS PAC ID: 1355524976 Enrollment ID: I20110319000028 |
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