| Comprehensive Behavioral Health Associates, Inc. | |
|
104 Javit Ct Youngstown OH 44515-2439 | |
| (330) 797-4050 | |
| (330) 797-4090 |
| Full Name | Comprehensive Behavioral Health Associates, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 104 Javit Ct, Youngstown, Ohio |
| Authorized Official Name and Position | Sasi Kaza (CEO) |
| Authorized Official Contact | 3309900960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Behavioral Health Associates, Inc. 104 Javit Ct Youngstown OH 44515-2409 Ph: (330) 797-4050 | Comprehensive Behavioral Health Associates, Inc. 104 Javit Ct Youngstown OH 44515-2439 Ph: (330) 797-4050 |
| NPI Number | 1114985413 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 7416948559 |
|---|---|
| Medicare Enrollment ID | O20120710000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114985413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amy Sue Frampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417024092 PECOS PAC ID: 7618968785 Enrollment ID: I20040519000563 |
| Provider Name | Pradeep K Manudhane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316991599 PECOS PAC ID: 8729015938 Enrollment ID: I20050720000000 |
| Provider Name | Kassandra Sue Kornbau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447596564 PECOS PAC ID: 5092955492 Enrollment ID: I20130708000756 |
| Provider Name | Todd Christopher Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750675849 PECOS PAC ID: 3971747668 Enrollment ID: I20130919000305 |
| Provider Name | Gina Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669801536 PECOS PAC ID: 2365670742 Enrollment ID: I20140109001030 |
| Provider Name | Barbara A Marsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548577497 PECOS PAC ID: 3173752920 Enrollment ID: I20140128000376 |
| Provider Name | Loren J Louk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093131468 PECOS PAC ID: 9739498908 Enrollment ID: I20151029001136 |
| Provider Name | Doreen Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285642793 PECOS PAC ID: 1951468990 Enrollment ID: I20160701001582 |
| Provider Name | Lori B Dellick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609229939 PECOS PAC ID: 8820384464 Enrollment ID: I20160908001692 |
| Provider Name | Shaloka L Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104157452 PECOS PAC ID: 0749561314 Enrollment ID: I20161220001450 |
| Provider Name | Ashleigh R Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376094219 PECOS PAC ID: 1052692571 Enrollment ID: I20161221001019 |
| Provider Name | Kyle Guterba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093239717 PECOS PAC ID: 6800161175 Enrollment ID: I20171012001893 |
| Provider Name | Laura J Cesario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750892634 PECOS PAC ID: 8224396171 Enrollment ID: I20171222000223 |
| Provider Name | Lindsey Hoppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730601709 PECOS PAC ID: 8527321355 Enrollment ID: I20180410000175 |
| Provider Name | John Michael Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194240937 PECOS PAC ID: 6709152143 Enrollment ID: I20190729002638 |
| Provider Name | Elizabeth Finley-belgrad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780780304 PECOS PAC ID: 2365697406 Enrollment ID: I20200707002466 |
| Provider Name | Noah John Hochendoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932723848 PECOS PAC ID: 5092133181 Enrollment ID: I20200922003261 |
| Provider Name | Diana L Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265050538 PECOS PAC ID: 4486074713 Enrollment ID: I20201026001894 |
| Provider Name | Ryan J Goettsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215485990 PECOS PAC ID: 7012321003 Enrollment ID: I20210203000855 |
| Provider Name | Jessica L Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962078253 PECOS PAC ID: 4981091758 Enrollment ID: I20220426000095 |
| Provider Name | Diane Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164881546 PECOS PAC ID: 6800243007 Enrollment ID: I20231109001803 |
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