| Hamilton Center, Inc. | |
|
620 8th Ave Terre Haute IN 47804-2744 | |
| (812) 231-8323 | |
| (812) 231-8400 |
| Full Name | Hamilton Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 620 8th Ave, Terre Haute, Indiana |
| Authorized Official Name and Position | Galen Goode (CEO) |
| Authorized Official Contact | 8122318323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Center, Inc. 620 8th Ave P.o. Box 4323 Terre Haute IN 47804-2744 Ph: (812) 231-8323 | Hamilton Center, Inc. 620 8th Ave Terre Haute IN 47804-2744 Ph: (812) 231-8323 |
| NPI Number | 1205980901 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/01/2010 |
| Medicare PECOS PAC ID | 4284533662 |
|---|---|
| Medicare Enrollment ID | O20040105000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205980901 | NPI | - | NPPES |
| 100273730 | Medicaid | IN | |
| 200165640 | Other | IN | WAIVER |
| 100273170 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 405-0-CMHC (Indiana) | Primary |
| 283Q00000X | Psychiatric Hospital | 405-0-CMHC (Indiana) | Secondary |
| Provider Name | Gail Kibiger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770531477 PECOS PAC ID: 7113827312 Enrollment ID: I20040113000300 |
| Provider Name | Bridget Roberts-pittman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740289834 PECOS PAC ID: 9436253101 Enrollment ID: I20070406000193 |
| Provider Name | Leah A Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821273566 PECOS PAC ID: 8426121633 Enrollment ID: I20080723000267 |
| Provider Name | Julia A Gadlage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578886875 PECOS PAC ID: 3779613351 Enrollment ID: I20100608000446 |
| Provider Name | Karen S Sweek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316971989 PECOS PAC ID: 2365574548 Enrollment ID: I20100723000474 |
| Provider Name | Paul A Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710968631 PECOS PAC ID: 3072705797 Enrollment ID: I20101012001364 |
| Provider Name | Virgil Macke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508817057 PECOS PAC ID: 7416130463 Enrollment ID: I20110329000270 |
| Provider Name | Tyrone Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275563777 PECOS PAC ID: 7113100173 Enrollment ID: I20110329000315 |
| Provider Name | Jack E Ennis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194773028 PECOS PAC ID: 6305020827 Enrollment ID: I20110407000518 |
| Provider Name | Sara Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407088842 PECOS PAC ID: 4082872304 Enrollment ID: I20120216000001 |
| Provider Name | Rosita Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376062851 PECOS PAC ID: 7416221502 Enrollment ID: I20170928001916 |
| Provider Name | Michael W Shamalov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467950477 PECOS PAC ID: 8325308810 Enrollment ID: I20180131002969 |
| Provider Name | Terri S. Klingelhoefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497056006 PECOS PAC ID: 6002178662 Enrollment ID: I20180319001303 |
| Provider Name | Brandi Nicole Caudill-roach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316689672 PECOS PAC ID: 1759766256 Enrollment ID: I20220920001897 |
| Provider Name | Melissa J Burton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124040662 PECOS PAC ID: 3870942634 Enrollment ID: I20231206000598 |
| Provider Name | Eleni Guoli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235908047 PECOS PAC ID: 7911357991 Enrollment ID: I20240103002760 |
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