| Healthone Clinic Services - Behavioral Health Llc | |
|
700 Potomac St Aurora CO 80011-6844 | |
| (720) 282-8015 | |
| (303) 340-9924 |
| Full Name | Healthone Clinic Services - Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 700 Potomac St, Aurora, Colorado |
| Authorized Official Name and Position | John Rebok (VP) |
| Authorized Official Contact | 6153725004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthone Clinic Services - Behavioral Health Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 372-5426 | Healthone Clinic Services - Behavioral Health Llc 700 Potomac St Aurora CO 80011-6844 Ph: (720) 282-8015 |
| NPI Number | 1184893604 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 01/02/2023 |
| Certification Date | 01/02/2023 |
| Medicare PECOS PAC ID | 7618049651 |
|---|---|
| Medicare Enrollment ID | O20081212000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184893604 | NPI | - | NPPES |
| 14538253 | Medicaid | CO | |
| 35625058 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Geraldine V Jerome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689643702 PECOS PAC ID: 1557356664 Enrollment ID: I20040419000234 |
| Provider Name | Todd M Kline |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003816398 PECOS PAC ID: 5597756452 Enrollment ID: I20040519001384 |
| Provider Name | Scott A Humphreys |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447264593 PECOS PAC ID: 3779511563 Enrollment ID: I20050802000985 |
| Provider Name | Sorina Simion Rodgers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316986748 PECOS PAC ID: 4688560774 Enrollment ID: I20070604000541 |
| Provider Name | Alfred Jason Richter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023009081 PECOS PAC ID: 7315026838 Enrollment ID: I20080508000222 |
| Provider Name | Andrew A Halpern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245327600 PECOS PAC ID: 8325079502 Enrollment ID: I20080602000652 |
| Provider Name | Marita Keeling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316083223 PECOS PAC ID: 3577752377 Enrollment ID: I20110110000596 |
| Provider Name | Melanie L Rylander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629261052 PECOS PAC ID: 1153578851 Enrollment ID: I20120831000502 |
| Provider Name | Patricia Westmoreland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467744128 PECOS PAC ID: 5294780581 Enrollment ID: I20121101000577 |
| Provider Name | Alfredo Nicodemus Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811081334 PECOS PAC ID: 7315964830 Enrollment ID: I20150731016202 |
| Provider Name | Damon Alexander Deleon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730403353 PECOS PAC ID: 3779710645 Enrollment ID: I20170228000796 |
| Provider Name | Christopher G Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548603947 PECOS PAC ID: 4789974809 Enrollment ID: I20180130000216 |
| Provider Name | Kristi L Cassleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477858280 PECOS PAC ID: 6507119401 Enrollment ID: I20181023001445 |
| Provider Name | Anna K Costakis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023224870 PECOS PAC ID: 4082767124 Enrollment ID: I20190327000697 |
| Provider Name | Leah Gwendolyn Brar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326243676 PECOS PAC ID: 4587097407 Enrollment ID: I20191209000037 |
| Provider Name | Zachary David Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467896381 PECOS PAC ID: 4688972144 Enrollment ID: I20200910001779 |
| Provider Name | Mckay Knowles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730618638 PECOS PAC ID: 9234539065 Enrollment ID: I20210615002498 |
| Provider Name | Gilberto R Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528598059 PECOS PAC ID: 5395146799 Enrollment ID: I20210623000792 |
| Provider Name | Karla Vera Molinero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609238252 PECOS PAC ID: 5597015560 Enrollment ID: I20210628002921 |
| Provider Name | Roberto Gouthman |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1437688702 PECOS PAC ID: 8022419449 Enrollment ID: I20210914000231 |
| Provider Name | Drew Cameron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346776978 PECOS PAC ID: 0446589394 Enrollment ID: I20210928001638 |
| Provider Name | Joseph Sochet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033644869 PECOS PAC ID: 1456753995 Enrollment ID: I20220105001131 |
| Provider Name | Hareesh Pillai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851821375 PECOS PAC ID: 6204109473 Enrollment ID: I20220517000589 |
| Provider Name | Whitney Snyders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083144430 PECOS PAC ID: 7113290313 Enrollment ID: I20220625000359 |
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