Henderson Behavioral Health, Inc. | |
4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5839 | |
(954) 497-3850 | |
(954) 497-3857 |
Full Name | Henderson Behavioral Health, Inc. |
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Speciality | Community/Behavioral Health |
Location | 4740 N State Road 7 Ste 201, Lauderdale Lakes, Florida |
Authorized Official Name and Position | Erica Ricketts (CFO) |
Authorized Official Contact | 9547771662 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Henderson Behavioral Health, Inc. 4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5804 Ph: (954) 497-3850 | Henderson Behavioral Health, Inc. 4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5839 Ph: (954) 497-3850 |
NPI Number | 1972533271 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 01/20/2012 |
Medicare PECOS PAC ID | 4688574643 |
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Medicare Enrollment ID | O20040113000676 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972533271 | NPI | - | NPPES |
060338403 | Medicaid | FL | |
060338416 | Medicaid | FL | |
060338410 | Medicaid | FL | |
060338412 | Medicaid | FL | |
060338408 | Medicaid | FL | |
060330402 | Medicaid | FL | |
060338417 | Medicaid | FL | |
060338400 | Medicaid | FL |
Provider Name | Joseph C Munafo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1740253657 PECOS PAC ID: 8628963816 Enrollment ID: I20040217000637 |
Provider Name | Alka Singal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053428607 PECOS PAC ID: 5698761617 Enrollment ID: I20040423000570 |
Provider Name | Maria A Gorelick |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922099290 PECOS PAC ID: 4688633936 Enrollment ID: I20041004000928 |
Provider Name | Sheryl M Hidalgo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588793632 PECOS PAC ID: 2264619717 Enrollment ID: I20110609000153 |
Provider Name | Bhagirathy Sahasranaman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902934508 PECOS PAC ID: 2062682362 Enrollment ID: I20110824000212 |
Provider Name | Sharon D Evertson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306972575 PECOS PAC ID: 1153597406 Enrollment ID: I20120109000241 |
Provider Name | Levi I Kahane |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013031160 PECOS PAC ID: 9032379797 Enrollment ID: I20120404000654 |
Provider Name | Mansoor P Shoukat |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649673187 PECOS PAC ID: 1456676501 Enrollment ID: I20150211001813 |
Provider Name | Stephen A Mcleod-bryant |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669580510 PECOS PAC ID: 5698856441 Enrollment ID: I20150727000060 |
Provider Name | Adrienn Nagy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992184923 PECOS PAC ID: 3779886007 Enrollment ID: I20160120002670 |
Provider Name | Robert J. Scardino |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730301490 PECOS PAC ID: 8325325129 Enrollment ID: I20170504000594 |
Provider Name | Nkechi M Jebose-chinye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245685031 PECOS PAC ID: 1355608761 Enrollment ID: I20171120001292 |
Provider Name | Jean C Marchand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629583406 PECOS PAC ID: 7719241033 Enrollment ID: I20180514000165 |
Provider Name | Marcia M Binion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477056943 PECOS PAC ID: 4284999848 Enrollment ID: I20180531001655 |
Provider Name | Vanita L Sahasranaman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184918096 PECOS PAC ID: 1355684267 Enrollment ID: I20190516001672 |
Provider Name | Martina Marini |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518463884 PECOS PAC ID: 3173857364 Enrollment ID: I20190621000614 |
Provider Name | Tatayana Maltseva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134502578 PECOS PAC ID: 5395177141 Enrollment ID: I20191115001226 |
Provider Name | Reginald Exilus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801452628 PECOS PAC ID: 8921419268 Enrollment ID: I20201118000490 |
Provider Name | Jean Max Saint Charles |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1629466727 PECOS PAC ID: 3577880970 Enrollment ID: I20201223000434 |
Provider Name | William D Krieger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821487935 PECOS PAC ID: 5991118838 Enrollment ID: I20210113001913 |
Provider Name | Courtney Walter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699372987 PECOS PAC ID: 6204249147 Enrollment ID: I20210113002170 |
Provider Name | Charmaine Am Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780139782 PECOS PAC ID: 7416361993 Enrollment ID: I20210125000122 |
Provider Name | Sheena Ausirus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346739356 PECOS PAC ID: 0345655098 Enrollment ID: I20210211000114 |
Provider Name | Hema Swathirajan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326138876 PECOS PAC ID: 7618377169 Enrollment ID: I20210621002039 |
Provider Name | Vincent C Licata |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891020368 PECOS PAC ID: 2264833532 Enrollment ID: I20210623003262 |
Provider Name | Karen D Weinstock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952908352 PECOS PAC ID: 0042617037 Enrollment ID: I20210917000455 |
Provider Name | Sharon Sarig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669830311 PECOS PAC ID: 8224435797 Enrollment ID: I20210927000590 |
Provider Name | Greg L Friedman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275531543 PECOS PAC ID: 1850799644 Enrollment ID: I20211008000775 |
Provider Name | Mamta H Shroff |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528701489 PECOS PAC ID: 1355720533 Enrollment ID: I20220617001234 |
Provider Name | Love Diana E Andieu |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154752194 PECOS PAC ID: 0446630743 Enrollment ID: I20220705000900 |
Provider Name | Stephanie J Van Houten |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205571312 PECOS PAC ID: 9234512435 Enrollment ID: I20220822001406 |
Provider Name | Nicole Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891452306 PECOS PAC ID: 2466828488 Enrollment ID: I20221017001778 |
Provider Name | Roberto Santamaria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003481052 PECOS PAC ID: 5294106563 Enrollment ID: I20230124002043 |
Provider Name | Murfy Morantus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174030936 PECOS PAC ID: 6709141013 Enrollment ID: I20230524000235 |
Provider Name | Davion Pooran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871256925 PECOS PAC ID: 1052792934 Enrollment ID: I20230529000171 |
Provider Name | Nadine R Greene |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629647979 PECOS PAC ID: 4587025127 Enrollment ID: I20230731001095 |
Provider Name | Bervelie Isidor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346969243 PECOS PAC ID: 9537539291 Enrollment ID: I20231009002482 |
Provider Name | Abey Adams Adasah |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518602770 PECOS PAC ID: 3870935471 Enrollment ID: I20240529000238 |
Steward Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313 Phone: 954-472-1322 | |
Osborne Legal Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 N State Road 7 Ste 200, Lauderdale Lakes, FL 33319 Phone: 954-274-5448 Fax: 954-484-1216 | |
Florida Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000 | |
Gothrig Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2331 N State Road 7 Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-530-6558 Fax: 954-769-1576 | |
Floridas Treatment Center Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 W Oakland Park Blvd Ste 102, Lauderdale Lakes, FL 33313 Phone: 954-380-0714 Fax: 877-977-5142 | |
Alina Health Medical Center Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 N State Road 7 Ste A, Lauderdale Lakes, FL 33319 Phone: 954-884-5859 | |
Rainbow Behavior Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Nw 49th Ave Ste 203, Lauderdale Lakes, FL 33313 Phone: 786-724-6015 |