Chartiers Community Mental Health And Retardation Center, Inc | |
437 Railroad Street Bridgeville PA 15017 | |
(412) 221-3302 | |
(412) 221-4902 |
Full Name | Chartiers Community Mental Health And Retardation Center, Inc |
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Speciality | Clinic/Center |
Location | 437 Railroad Street, Bridgeville, Pennsylvania |
Authorized Official Name and Position | Susan A Coyle (CEO) |
Authorized Official Contact | 4122213302 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chartiers Community Mental Health And Retardation Center, Inc 437 Railroad Street Bridgeville PA 15017 Ph: (412) 221-3302 | Chartiers Community Mental Health And Retardation Center, Inc 437 Railroad Street Bridgeville PA 15017 Ph: (412) 221-3302 |
NPI Number | 1275526642 |
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Provider Enumeration Date | 08/31/2005 |
Last Update Date | 04/01/2013 |
Medicare PECOS PAC ID | 2466341573 |
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Medicare Enrollment ID | O20040315000821 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275526642 | NPI | - | NPPES |
100002895 | Medicaid | PA |
Provider Name | Soraya Radfar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306832662 PECOS PAC ID: 4284524026 Enrollment ID: I20040317000129 |
Provider Name | Anna Boettcher |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720058761 PECOS PAC ID: 9234021643 Enrollment ID: I20040329000981 |
Provider Name | Jane E Schwarz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720100530 PECOS PAC ID: 0840381695 Enrollment ID: I20070808000216 |
Provider Name | Alan A Axelson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447224910 PECOS PAC ID: 0042111650 Enrollment ID: I20101106000009 |
Provider Name | Raj A Narayan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699978163 PECOS PAC ID: 7416113790 Enrollment ID: I20120801000253 |
Provider Name | Larissa L Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447504360 PECOS PAC ID: 6800159450 Enrollment ID: I20180411002917 |
Provider Name | Brittany E Endreszl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750854774 PECOS PAC ID: 3870832256 Enrollment ID: I20190301000392 |
Provider Name | Sarah Loveland Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194499376 PECOS PAC ID: 7416305362 Enrollment ID: I20231203000087 |
Provider Name | Maria Wojtasik |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740907997 PECOS PAC ID: 5294179974 Enrollment ID: I20240221002277 |
Provider Name | Sally Crompton |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285916833 PECOS PAC ID: 4981044245 Enrollment ID: I20240503000141 |
Provider Name | Christina M Ohm |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1578998712 PECOS PAC ID: 5597207803 Enrollment ID: I20240603000008 |
Provider Name | Ashley Rebel |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1578313722 PECOS PAC ID: 9931641164 Enrollment ID: I20240604000469 |
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