| Geropsych, A Division Of Key Rehabilitation, Inc. | |
|
35625 Highway 72 Salem MO 65560-7217 | |
| (573) 729-6141 | |
| (615) 896-5177 |
| Full Name | Geropsych, A Division Of Key Rehabilitation, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 35625 Highway 72, Salem, Missouri |
| Authorized Official Name and Position | Janet S Irwind (CEO/PRESIDENT) |
| Authorized Official Contact | 6158966400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropsych, A Division Of Key Rehabilitation, Inc. 1335 Nw Broad St Murfreesboro TN 37129-4428 Ph: (615) 896-6400 | Geropsych, A Division Of Key Rehabilitation, Inc. 35625 Highway 72 Salem MO 65560-7217 Ph: (573) 729-6141 |
| NPI Number | 1821335613 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 02/24/2016 |
| Medicare PECOS PAC ID | 9638086432 |
|---|---|
| Medicare Enrollment ID | O20040122000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821335613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Cristina M Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720361306 PECOS PAC ID: 1254226442 Enrollment ID: I20130806000441 |
| Provider Name | Dana D Jessup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508890146 PECOS PAC ID: 9830155811 Enrollment ID: I20151211001847 |
| Provider Name | Nicholas J Striegel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588848519 PECOS PAC ID: 8022398627 Enrollment ID: I20161216000179 |
| Provider Name | Alisa Collins Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215510581 PECOS PAC ID: 8325442999 Enrollment ID: I20210803003903 |
| Provider Name | Donna M Tunnell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396995882 PECOS PAC ID: 4789036500 Enrollment ID: I20240117003504 |
| Provider Name | Mark Allen Thompson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548417538 PECOS PAC ID: 2961854708 Enrollment ID: I20240117003869 |
| Provider Name | Christopher P Parker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700270535 PECOS PAC ID: 3476905217 Enrollment ID: I20240117004032 |
| Provider Name | Jana Michelle Blevins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942403738 PECOS PAC ID: 8224403811 Enrollment ID: I20240126003503 |
| Provider Name | Alisha N Kelly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174809933 PECOS PAC ID: 1658724497 Enrollment ID: I20240129003119 |
| Provider Name | Joel Garcia De Guia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831367556 PECOS PAC ID: 4880948975 Enrollment ID: I20240209003760 |
| Provider Name | Cara Sheldon Terry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275999567 PECOS PAC ID: 5890139661 Enrollment ID: I20240220003093 |
| Provider Name | Jennifer L Fontaine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811076425 PECOS PAC ID: 1850562307 Enrollment ID: I20240402003100 |
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