| Geripsych Services Pllc | |
|
611 Old Us Hwy 70 E Black Mountain NC 28711-9488 | |
| (828) 665-7062 | |
| Not Available |
| Full Name | Geripsych Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 611 Old Us Hwy 70 E, Black Mountain, North Carolina |
| Authorized Official Name and Position | Gina M Hagar (OWNER/MANAGER) |
| Authorized Official Contact | 8286657062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geripsych Services Pllc Po Box 263 Candler NC 28715-0263 Ph: (828) 665-7062 | Geripsych Services Pllc 611 Old Us Hwy 70 E Black Mountain NC 28711-9488 Ph: (828) 665-7062 |
| NPI Number | 1376815613 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 06/24/2015 |
| Medicare PECOS PAC ID | 0648435073 |
|---|---|
| Medicare Enrollment ID | O20120710000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376815613 | NPI | - | NPPES |
| 6008718 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3730 (North Carolina) | Primary |
| Provider Name | Robert E Gorlach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598824021 PECOS PAC ID: 6800976598 Enrollment ID: I20080108000240 |
| Provider Name | Gina M Hagar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083855423 PECOS PAC ID: 7517005424 Enrollment ID: I20091113000384 |
| Provider Name | Sandra Newes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639305691 PECOS PAC ID: 8527298496 Enrollment ID: I20140221000450 |
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