| Springvale Health Centers, Inc. | |
|
201 Hospital Dr Dover OH 44622-2058 | |
| (330) 343-6631 | |
| (330) 343-8188 |
| Full Name | Springvale Health Centers, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 201 Hospital Dr, Dover, Ohio |
| Authorized Official Name and Position | Joseph J Boroski (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3303436631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springvale Health Centers, Inc. 201 Hospital Dr Dover OH 44622-2058 Ph: (330) 343-6631 | Springvale Health Centers, Inc. 201 Hospital Dr Dover OH 44622-2058 Ph: (330) 343-6631 |
| NPI Number | 1477508406 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 09/01/2021 |
| Certification Date | 09/01/2021 |
| Medicare PECOS PAC ID | 4688616980 |
|---|---|
| Medicare Enrollment ID | O20050526000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477508406 | NPI | - | NPPES |
| 0200811 | Medicaid | OH | |
| 0229210 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0242 (Ohio) | Primary |
| Provider Name | Sandra Lankford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386850741 PECOS PAC ID: 8426942483 Enrollment ID: I20040210001192 |
| Provider Name | George T Moses |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124095906 PECOS PAC ID: 9638067333 Enrollment ID: I20040305000076 |
| Provider Name | Chander Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912943267 PECOS PAC ID: 0345211835 Enrollment ID: I20040805001632 |
| Provider Name | Sharon Hoopingarner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093747784 PECOS PAC ID: 7012052079 Enrollment ID: I20100303000080 |
| Provider Name | Julie M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477803419 PECOS PAC ID: 1557512266 Enrollment ID: I20121106000188 |
| Provider Name | Peter J Botti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023224441 PECOS PAC ID: 8628213816 Enrollment ID: I20130315000379 |
| Provider Name | Megan Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578983870 PECOS PAC ID: 9537383450 Enrollment ID: I20140617000335 |
| Provider Name | Kelly M Schneiders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447689575 PECOS PAC ID: 1658692017 Enrollment ID: I20150610001767 |
| Provider Name | Jan M Quackenbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538614292 PECOS PAC ID: 0648567206 Enrollment ID: I20160926000179 |
| Provider Name | Mark A Dal Pra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417048968 PECOS PAC ID: 3072898592 Enrollment ID: I20170324001777 |
| Provider Name | Dale Lachance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937563 PECOS PAC ID: 3274887591 Enrollment ID: I20181126001049 |
| Provider Name | Darla R Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407404551 PECOS PAC ID: 1658704879 Enrollment ID: I20191202002053 |
| Provider Name | Lori Schreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548925688 PECOS PAC ID: 1153713094 Enrollment ID: I20220126001646 |
| Provider Name | Ariel Brindley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508453218 PECOS PAC ID: 9931595865 Enrollment ID: I20220401001181 |
| Provider Name | Laiken Lynn Sundheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992499198 PECOS PAC ID: 1052768504 Enrollment ID: I20231106002177 |
| Provider Name | John C Gorrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184097099 PECOS PAC ID: 8224489240 Enrollment ID: I20240103004566 |
| Provider Name | Christa Renee Hatfield-lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891122214 PECOS PAC ID: 5193176881 Enrollment ID: I20240106000695 |
| Provider Name | Steven John Cekanski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811321672 PECOS PAC ID: 7810348505 Enrollment ID: I20240106000707 |
| Provider Name | Denise Yuncker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649365180 PECOS PAC ID: 0244681732 Enrollment ID: I20240109003244 |
| Provider Name | Harry D Lowers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922277342 PECOS PAC ID: 7719338847 Enrollment ID: I20240112001759 |
| Provider Name | Star Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750705984 PECOS PAC ID: 5799137840 Enrollment ID: I20240115000778 |
| Provider Name | Katie Michele Kocher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518105675 PECOS PAC ID: 2567814338 Enrollment ID: I20240117001859 |
| Provider Name | Paula Lee Dallatore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871967240 PECOS PAC ID: 3072965631 Enrollment ID: I20240118003708 |
| Provider Name | Dawn Marie Rist-opal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659531911 PECOS PAC ID: 3072966837 Enrollment ID: I20240129000142 |
New Life Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 130 W 3rd St, Dover, OH 44622 Phone: 330-343-6600 Fax: 330-343-6405 | |
Pathway Practice, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Alcohol And Addiction Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 897 E Iron Ave, Dover, OH 44622 Phone: 330-343-5555 Fax: 330-364-8946 | |
Springvale Health Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 | |
Springvale Health Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hospital Dr, Dover, OH 44622 Phone: 330-343-6631 Fax: 330-343-8188 | |
Guiding Grace Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 1/2 S James St, Dover, OH 44622 Phone: 330-343-7400 Fax: 330-343-7414 |