| Dominion Behavioral Healthcare | |
|
703 N Courthouse Rd Richmond VA 23236-4069 | |
| (804) 639-1136 | |
| (804) 639-5584 |
| Full Name | Dominion Behavioral Healthcare |
|---|---|
| Speciality | Psychologist |
| Location | 703 N Courthouse Rd, Richmond, Virginia |
| Authorized Official Name and Position | Robert Samuel Falk (VICE PRESIDENT) |
| Authorized Official Contact | 8047944482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Behavioral Healthcare 703 N Courthouse Rd Richmond VA 23236-4069 Ph: (804) 639-1136 | Dominion Behavioral Healthcare 703 N Courthouse Rd Richmond VA 23236-4069 Ph: (804) 639-1136 |
| NPI Number | 1043262215 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 04/16/2008 |
| Medicare PECOS PAC ID | 6709803570 |
|---|---|
| Medicare Enrollment ID | O20051031000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043262215 | NPI | - | NPPES |
| Provider Name | Ashvin A Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730209172 PECOS PAC ID: 6204734247 Enrollment ID: I20040205001275 |
| Provider Name | Abdul L Amir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255315081 PECOS PAC ID: 1557349313 Enrollment ID: I20040709000274 |
| Provider Name | Susan N Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316380017 PECOS PAC ID: 7911146592 Enrollment ID: I20130611000411 |
| Provider Name | Linda C Kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629050273 PECOS PAC ID: 8820313299 Enrollment ID: I20150205000992 |
| Provider Name | Michelle L Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235137894 PECOS PAC ID: 3870480965 Enrollment ID: I20150315000012 |
| Provider Name | Julia Emmett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891199642 PECOS PAC ID: 1658672290 Enrollment ID: I20151223001494 |
| Provider Name | Douglas Grant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508997792 PECOS PAC ID: 6103920608 Enrollment ID: I20170725002865 |
| Provider Name | Gordon Harrower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649415761 PECOS PAC ID: 8628334000 Enrollment ID: I20171118000029 |
| Provider Name | Mary E Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285832980 PECOS PAC ID: 4981788163 Enrollment ID: I20180125002657 |
| Provider Name | Michelle Sams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619402096 PECOS PAC ID: 7618215641 Enrollment ID: I20190215002187 |
| Provider Name | Kimberly A Southam-gerow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598316424 PECOS PAC ID: 6901226190 Enrollment ID: I20201008001672 |
| Provider Name | Taylor A Scarce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205469939 PECOS PAC ID: 3274943329 Enrollment ID: I20201102001148 |
| Provider Name | Thomas Mark Mamalakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346810173 PECOS PAC ID: 4789088303 Enrollment ID: I20210804001967 |
| Provider Name | Abbie Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588234751 PECOS PAC ID: 4688071202 Enrollment ID: I20210924001185 |
| Provider Name | Samantha Hasenzahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962132035 PECOS PAC ID: 9234514423 Enrollment ID: I20220926000021 |
| Provider Name | Monica Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487388005 PECOS PAC ID: 7810367026 Enrollment ID: I20230104003145 |
| Provider Name | Martha M Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982648556 PECOS PAC ID: 5395118665 Enrollment ID: I20230307002438 |
| Provider Name | Jean Skrincosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356475099 PECOS PAC ID: 5193820306 Enrollment ID: I20230601002439 |
| Provider Name | Lauren Nichole Mcmanamay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932884491 PECOS PAC ID: 3476914003 Enrollment ID: I20230731000755 |
| Provider Name | Lowell Edward Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548220502 PECOS PAC ID: 9436594140 Enrollment ID: I20240304001093 |
| Provider Name | Stephanie Dare Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972073070 PECOS PAC ID: 5496191074 Enrollment ID: I20240306002732 |
| Provider Name | John H Hamlett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487762191 PECOS PAC ID: 4385080894 Enrollment ID: I20240306003896 |
| Provider Name | James Stewart Willis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104969807 PECOS PAC ID: 8527404037 Enrollment ID: I20240306004005 |
| Provider Name | Barbara Domansky Kaplan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144403809 PECOS PAC ID: 3779929237 Enrollment ID: I20240307000959 |
| Provider Name | Alexandra Jane Burrows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558023192 PECOS PAC ID: 9133566730 Enrollment ID: I20240319000749 |
| Provider Name | Erica Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538867494 PECOS PAC ID: 8325480213 Enrollment ID: I20240523001368 |
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