| Emerge Ministries, Inc | |
|
900 Mull Ave Akron OH 44313-7502 | |
| (330) 867-5603 | |
| (330) 873-3439 |
| Full Name | Emerge Ministries, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 900 Mull Ave, Akron, Ohio |
| Authorized Official Name and Position | Kathy M Heidbreder (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3308675603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerge Ministries, Inc 900 Mull Ave Akron OH 44313-7502 Ph: (330) 867-5603 | Emerge Ministries, Inc 900 Mull Ave Akron OH 44313-7502 Ph: (330) 867-5603 |
| NPI Number | 1275683690 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/29/2012 |
| Medicare PECOS PAC ID | 7416914809 |
|---|---|
| Medicare Enrollment ID | O20041216001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275683690 | NPI | - | NPPES |
| 543777 | Other | OH | VALUE OPTIONS |
| 286605356001 | Other | OH | MEDICAL MUTUAL |
| 000000320605 | Other | OH | ANTHEM BCBS |
| 6289137 | Other | OH | UNITED BEHAVIORAL HUH |
| 733558000 | Other | OH | MAGELLAN |
| 2375451 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0003876 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patricia E Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669521969 PECOS PAC ID: 5597722983 Enrollment ID: I20041216001139 |
| Provider Name | Donald A Lichi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295821916 PECOS PAC ID: 4789781030 Enrollment ID: I20070521000437 |
| Provider Name | Kathyrn S Wurtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699822932 PECOS PAC ID: 4981879236 Enrollment ID: I20111214000872 |
| Provider Name | Richard A Serbin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689715872 PECOS PAC ID: 0547428856 Enrollment ID: I20120215000908 |
| Provider Name | Christine Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982775375 PECOS PAC ID: 2668795907 Enrollment ID: I20141217002922 |
| Provider Name | Jerome Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518415272 PECOS PAC ID: 8729366950 Enrollment ID: I20161024000410 |
| Provider Name | Anna Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780187419 PECOS PAC ID: 1456600345 Enrollment ID: I20180827002031 |
| Provider Name | Elizabeth Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922529684 PECOS PAC ID: 4183018435 Enrollment ID: I20220302000911 |
| Provider Name | Matthew Haines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609447085 PECOS PAC ID: 5092192682 Enrollment ID: I20220520000877 |
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