| Cumberland Hall Hospital | |
|
270 Walton Way Hopkinsville KY 42240 | |
| (270) 886-1919 | |
| (270) 886-1335 |
| Full Name | Cumberland Hall Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 270 Walton Way, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Steve Filton (CFO/SVP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Hall Hospital 270 Walton Way Hopkinsville KY 42240 Ph: (270) 886-1919 | Cumberland Hall Hospital 270 Walton Way Hopkinsville KY 42240 Ph: (270) 886-1919 |
| NPI Number | 1720353501 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Medicare PECOS PAC ID | 6608833520 |
|---|---|
| Medicare Enrollment ID | O20041213000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720353501 | NPI | - | NPPES |
| Provider Name | Max C Kinnaman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376693176 PECOS PAC ID: 7517909500 Enrollment ID: I20050601000034 |
| Provider Name | Michael John Light |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508863648 PECOS PAC ID: 7214031699 Enrollment ID: I20070709000425 |
| Provider Name | Anitha Mandadapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699816744 PECOS PAC ID: 0840348124 Enrollment ID: I20090424000021 |
| Provider Name | James J Staudenmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174514657 PECOS PAC ID: 6204070402 Enrollment ID: I20150316000626 |
| Provider Name | Kathryn Nesbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623303 PECOS PAC ID: 8325352180 Enrollment ID: I20150806012376 |
| Provider Name | Hope Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922482587 PECOS PAC ID: 7315234382 Enrollment ID: I20161011001601 |
| Provider Name | Oleksandr Osipchuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700045416 PECOS PAC ID: 3476604406 Enrollment ID: I20171020002509 |
| Provider Name | Janice Bunch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861527624 PECOS PAC ID: 6709211642 Enrollment ID: I20200122002681 |
| Provider Name | Victor Arballo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023462447 PECOS PAC ID: 8729377429 Enrollment ID: I20200717002251 |
| Provider Name | Walter E Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821485400 PECOS PAC ID: 1254643240 Enrollment ID: I20200805002592 |
| Provider Name | Kimberly Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437825767 PECOS PAC ID: 4486043924 Enrollment ID: I20211122002788 |
| Provider Name | Hannah E Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679145999 PECOS PAC ID: 8527458025 Enrollment ID: I20211123002385 |
| Provider Name | Brian Hunter Levins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053675090 PECOS PAC ID: 8426309287 Enrollment ID: I20220630000003 |
| Provider Name | Melissa Cheatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154034221 PECOS PAC ID: 5496118614 Enrollment ID: I20230905003486 |
| Provider Name | Brian Hunter Levins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053675090 PECOS PAC ID: 8426309287 Enrollment ID: I20230919000343 |
| Provider Name | Rachel Helen Alison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265095087 PECOS PAC ID: 8123431442 Enrollment ID: I20231108003385 |
| Provider Name | Melanie S Haddox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609840099 PECOS PAC ID: 6406899822 Enrollment ID: I20240105001328 |
| Provider Name | Brian Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326542606 PECOS PAC ID: 2365774320 Enrollment ID: I20240422000380 |
| Provider Name | Lakaya D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093573040 PECOS PAC ID: 4183064967 Enrollment ID: I20240426000642 |
Mindcare Mental Health Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Canton Pike, Suite H, Hopkinsville, KY 42240 Phone: 270-498-6465 | |
Western State Nursing Facility Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2400 Russellville Rd, Us 68 East, Hopkinsville, KY 42241 Phone: 502-886-4431 Fax: 270-886-4487 | |
One4all Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Main St # 550, Hopkinsville, KY 42240 Phone: 270-449-1631 | |
Ashley F Boze Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1618 E 9th St Ste 104, Hopkinsville, KY 42240 Phone: 270-889-8576 | |
Women's Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1918 Bentley St, Hopkinsville, KY 42240 Phone: 270-348-6167 | |
Gazza Lab Neurology, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 High St, Suite A, Hopkinsville, KY 42240 Phone: 270-886-2559 Fax: 270-886-0388 | |
Jennie Stuart Medical Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 320 W 18th St, Hopkinsville, KY 42240 Phone: 270-887-0100 Fax: 270-887-9266 |