| Deerfield Behavioral Health Of Warren, Llc | |
|
1003 Pennsylvania Ave W Warren PA 16365-1876 | |
| (814) 723-5545 | |
| (814) 723-6355 |
| Full Name | Deerfield Behavioral Health Of Warren, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1003 Pennsylvania Ave W, Warren, Pennsylvania |
| Authorized Official Name and Position | John John (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8147235545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerfield Behavioral Health Of Warren, Llc 1003 Pennsylvania Ave W Fl 2 Warren PA 16365-1876 Ph: (814) 723-5545 | Deerfield Behavioral Health Of Warren, Llc 1003 Pennsylvania Ave W Warren PA 16365-1876 Ph: (814) 723-5545 |
| NPI Number | 1134158314 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 8325935661 |
|---|---|
| Medicare Enrollment ID | O20040302000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134158314 | NPI | - | NPPES |
| 0015930840007 | Medicaid | PA | |
| 0050598001 | Other | PA | UNIVERA HEALTH CARE |
| 330194 | Other | VALUE OPTIONS | |
| 0015930840010 | Medicaid | PA | |
| CD5207 | Other | PA | RAILROAD MEDICARE |
| 0015930840009 | Medicaid | PA | |
| 0015930840012 | Medicaid | PA | |
| 0828 | Other | PA | HIGHMARK FACILITY |
| 1436227 | Other | PA | KEYSTONE HIGHMARK |
| 0015930840011 | Medicaid | PA | |
| 1436176 | Other | PA | HIGHMARK BLUE SHIELD |
| Provider Name | Dennis P. Borczon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487625521 PECOS PAC ID: 8426945957 Enrollment ID: I20040301000636 |
| Provider Name | Craig G Richman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780664524 PECOS PAC ID: 1355374141 Enrollment ID: I20050913000448 |
| Provider Name | John P. John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497789507 PECOS PAC ID: 5193733780 Enrollment ID: I20060323000267 |
| Provider Name | Ernesto Roederer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790714905 PECOS PAC ID: 7012804354 Enrollment ID: I20060925000415 |
| Provider Name | Abby Louise Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225238900 PECOS PAC ID: 4587756820 Enrollment ID: I20070816000524 |
| Provider Name | Sandra Brill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821144361 PECOS PAC ID: 7315025434 Enrollment ID: I20080415000407 |
| Provider Name | Nichole B Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609888643 PECOS PAC ID: 3577620723 Enrollment ID: I20090316000372 |
| Provider Name | John F Simora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770776049 PECOS PAC ID: 0345438669 Enrollment ID: I20101230000185 |
| Provider Name | Richard S Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982913554 PECOS PAC ID: 6800085499 Enrollment ID: I20110113000239 |
| Provider Name | Mary Anne Albaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487625513 PECOS PAC ID: 5395934996 Enrollment ID: I20110113000306 |
| Provider Name | Kelly C Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033549605 PECOS PAC ID: 5890924443 Enrollment ID: I20140131001459 |
| Provider Name | Kathleen T Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568892024 PECOS PAC ID: 4981833878 Enrollment ID: I20140219001249 |
| Provider Name | Charles R Joy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609847755 PECOS PAC ID: 1557593910 Enrollment ID: I20140417000565 |
| Provider Name | Karen M Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114548468 PECOS PAC ID: 8628490018 Enrollment ID: I20200611001654 |
| Provider Name | Nicole M Theuret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891387049 PECOS PAC ID: 9830506534 Enrollment ID: I20210324003221 |
| Provider Name | Kristina Marie Singley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558029017 PECOS PAC ID: 2062804222 Enrollment ID: I20220120000099 |
| Provider Name | Krystal D Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245965664 PECOS PAC ID: 6406230275 Enrollment ID: I20220928002320 |
| Provider Name | Alyssa Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184369464 PECOS PAC ID: 2961846340 Enrollment ID: I20240214001723 |
Sunrise Collaborative, Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1048 Pennsylvania Ave W, Warren, PA 16365 Phone: 724-422-3928 Fax: 814-313-1075 | |
Beacon Light Behavioral Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1885 Market St, Warren, PA 16365 Phone: 814-723-1832 Fax: 814-362-5245 | |
Beacon Light Behavioral Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1885 Market St, Warren, PA 16365 Phone: 814-817-1400 Fax: 814-362-5245 | |
Karen Ashbaugh Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 W 3rd Ave Ste A, Warren, PA 16365 Phone: 814-730-2281 | |
Mindful Journeys, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 436 Pennsylvania Ave W, Warren, PA 16365 Phone: 814-723-3200 | |
Warren General Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Two Crescent Park W, Warren, PA 16365 Phone: 814-723-3300 Fax: 814-723-8515 |