| Cep America - Psychiatry Pc | |
|
2700 Nw Stewart Pkwy Roseburg OR 97471 | |
| (541) 673-0611 | |
| Not Available |
| Full Name | Cep America - Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Psychiatry Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Cep America - Psychiatry Pc 2700 Nw Stewart Pkwy Roseburg OR 97471 Ph: (541) 673-0611 |
| NPI Number | 1851884548 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Medicare PECOS PAC ID | 0244522159 |
|---|---|
| Medicare Enrollment ID | O20180806001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851884548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kolby Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144541376 PECOS PAC ID: 2264679711 Enrollment ID: I20140808002315 |
| Provider Name | Herbert J Harman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932195484 PECOS PAC ID: 3577566231 Enrollment ID: I20150808015943 |
| Provider Name | Anthony Andrew Mazzarulli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801090006 PECOS PAC ID: 8426124439 Enrollment ID: I20170327002183 |
| Provider Name | Roshanak Ramezani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346402443 PECOS PAC ID: 8820222193 Enrollment ID: I20170329001642 |
| Provider Name | Sydney Marie Lefay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801215249 PECOS PAC ID: 7113216193 Enrollment ID: I20181029001864 |
| Provider Name | Tara P. Toohey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568655306 PECOS PAC ID: 1658563929 Enrollment ID: I20190306000588 |
| Provider Name | Aalamgeer Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386838795 PECOS PAC ID: 1153578893 Enrollment ID: I20190325000262 |
| Provider Name | Benjamin Joseph Hidy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570031 PECOS PAC ID: 7214158260 Enrollment ID: I20190522002040 |
| Provider Name | Visant A. Sanathara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760417661 PECOS PAC ID: 1951305010 Enrollment ID: I20191101000200 |
| Provider Name | Karl Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669676524 PECOS PAC ID: 9739072653 Enrollment ID: I20200211001413 |
| Provider Name | Nasratullah Wahidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407264203 PECOS PAC ID: 1153602610 Enrollment ID: I20201002000215 |
| Provider Name | Stoyan Rusev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902978760 PECOS PAC ID: 0345398285 Enrollment ID: I20210715002586 |
| Provider Name | Jaimini Chauhan-james |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700152618 PECOS PAC ID: 8729388798 Enrollment ID: I20220601002851 |
| Provider Name | Troy Kurz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154862357 PECOS PAC ID: 9739503822 Enrollment ID: I20220812002042 |
| Provider Name | Anh Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083118871 PECOS PAC ID: 5395132484 Enrollment ID: I20230106001074 |
| Provider Name | Irina Filip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801207923 PECOS PAC ID: 3072894005 Enrollment ID: I20230106002360 |
Vituity Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-0611 | |
Douglas County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 | |
Kids & Company Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave Ste 427, Roseburg, OR 97471 Phone: 907-545-3079 | |
Serenity Lane Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 Nw Kline St, Roseburg, OR 97471 Phone: 541-673-3504 Fax: 541-673-4724 | |
Mercy Behavioral Health Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2458 Fax: 541-677-1554 | |
Community Health Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Ste 448, Roseburg, OR 97471 Phone: 541-464-4079 Fax: 541-440-6306 | |
Yop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Se Jackson St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642 |