| Comprehensive Behavioral Health | |
|
25 Myers Corner Dr Staunton VA 24401-6342 | |
| (540) 688-2646 | |
| (540) 688-2656 |
| Full Name | Comprehensive Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25 Myers Corner Dr, Staunton, Virginia |
| Authorized Official Name and Position | Stephanie Chase Kellington (PRACTICE MANAGER) |
| Authorized Official Contact | 5406882646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Behavioral Health 25 Myers Corner Dr Staunton VA 24401-6342 Ph: (540) 688-2646 | Comprehensive Behavioral Health 25 Myers Corner Dr Staunton VA 24401-6342 Ph: (540) 688-2646 |
| NPI Number | 1649376450 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Medicare PECOS PAC ID | 2466359328 |
|---|---|
| Medicare Enrollment ID | O20031217001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649376450 | NPI | - | NPPES |
| Provider Name | Lauren E Tancyus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164496394 PECOS PAC ID: 3274597042 Enrollment ID: I20041112000433 |
| Provider Name | Pamela Hevener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548408529 PECOS PAC ID: 6103974936 Enrollment ID: I20090504000586 |
| Provider Name | Timothy Joe Kane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205805355 PECOS PAC ID: 0446383715 Enrollment ID: I20100806000572 |
| Provider Name | Brooks Anthony Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851813877 PECOS PAC ID: 1456626662 Enrollment ID: I20171013000168 |
| Provider Name | Maria A Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013537513 PECOS PAC ID: 7719300219 Enrollment ID: I20200630002365 |
| Provider Name | Morgan R Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760790554 PECOS PAC ID: 4880003516 Enrollment ID: I20210511000670 |
| Provider Name | Daphne N Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770242646 PECOS PAC ID: 6608261730 Enrollment ID: I20220328000647 |
| Provider Name | Amy Matney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023309598 PECOS PAC ID: 1850754763 Enrollment ID: I20230824004218 |
| Provider Name | Erica L Bourdeau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841420627 PECOS PAC ID: 9032301106 Enrollment ID: I20240322000700 |
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