| Dayton Behavioral Care, Llc | |
|
1 Elizabeth Pl Suite 2c Dayton OH 45417-3445 | |
| (937) 281-0900 | |
| (937) 938-9751 |
| Full Name | Dayton Behavioral Care, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Elizabeth Pl, Dayton, Ohio |
| Authorized Official Name and Position | Christina Marie Dueno (OFFICE MANAGER) |
| Authorized Official Contact | 9372810900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Behavioral Care, Llc 1 Elizabeth Pl Suite 2c Dayton OH 45417-3445 Ph: (937) 281-0900 | Dayton Behavioral Care, Llc 1 Elizabeth Pl Suite 2c Dayton OH 45417-3445 Ph: (937) 281-0900 |
| NPI Number | 1538396270 |
|---|---|
| Provider Enumeration Date | 06/21/2009 |
| Last Update Date | 10/11/2016 |
| Medicare PECOS PAC ID | 0446390926 |
|---|---|
| Medicare Enrollment ID | O20091214000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538396270 | NPI | - | NPPES |
| 2330650 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35-42602 (Ohio) | Primary |
| Provider Name | Jeffrey M Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811974751 PECOS PAC ID: 5799758538 Enrollment ID: I20040818001172 |
| Provider Name | Otto Dueno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467447623 PECOS PAC ID: 1456488204 Enrollment ID: I20100427000461 |
| Provider Name | Sharon L Arabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730349010 PECOS PAC ID: 2466586243 Enrollment ID: I20100816000468 |
| Provider Name | Stuart T Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013258201 PECOS PAC ID: 7214165166 Enrollment ID: I20140122001749 |
| Provider Name | Christina Marie Dueno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568813947 PECOS PAC ID: 3476832890 Enrollment ID: I20170816001922 |
| Provider Name | Melanie R Gecili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528502531 PECOS PAC ID: 1850621251 Enrollment ID: I20190927001551 |
| Provider Name | Neacol Humphrey Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881245983 PECOS PAC ID: 2668862855 Enrollment ID: I20211202000262 |
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