| Magnolia - Cmhc | |
|
7809 Massachusetts Ave New Port Richey FL 34653-3028 | |
| (727) 841-4200 | |
| Not Available |
| Full Name | Magnolia - Cmhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7809 Massachusetts Ave, New Port Richey, Florida |
| Authorized Official Name and Position | Lynda Gorken (VICE PRESIDENT) |
| Authorized Official Contact | 7272819390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia - Cmhc 2995 Drew St Fl 2 Clearwater FL 33759-3012 Ph: (727) 281-9390 | Magnolia - Cmhc 7809 Massachusetts Ave New Port Richey FL 34653-3028 Ph: (727) 841-4200 |
| NPI Number | 1225312549 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Medicare PECOS PAC ID | 4688649122 |
|---|---|
| Medicare Enrollment ID | O20040830000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225312549 | NPI | - | NPPES |
| 060297300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Florida) | Primary |
| Provider Name | Jeanne R Botz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508825407 PECOS PAC ID: 5991690182 Enrollment ID: I20040217000636 |
| Provider Name | Elizabeth Ann Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295757490 PECOS PAC ID: 2567351331 Enrollment ID: I20040311000690 |
| Provider Name | Srinivas Yerneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871552570 PECOS PAC ID: 9739074923 Enrollment ID: I20041007000515 |
| Provider Name | Joseph D Fishel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639215288 PECOS PAC ID: 8921069873 Enrollment ID: I20041023000091 |
| Provider Name | Ronald H Rempfer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720083348 PECOS PAC ID: 7911962634 Enrollment ID: I20041122001106 |
| Provider Name | Edwin W Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740294883 PECOS PAC ID: 6103879341 Enrollment ID: I20050228000541 |
| Provider Name | Rhonda R Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20050321000549 |
| Provider Name | George C Winny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942217492 PECOS PAC ID: 9537105499 Enrollment ID: I20050630000321 |
| Provider Name | Ayman G Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275567026 PECOS PAC ID: 9537101449 Enrollment ID: I20051205000102 |
| Provider Name | Mark Sinz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366523078 PECOS PAC ID: 6901827518 Enrollment ID: I20051212000177 |
| Provider Name | Nestor E Milian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407828262 PECOS PAC ID: 2163438557 Enrollment ID: I20060222000279 |
| Provider Name | Susan F Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073522983 PECOS PAC ID: 4183728561 Enrollment ID: I20070323000300 |
| Provider Name | Renee C Tapasak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477611200 PECOS PAC ID: 5597861252 Enrollment ID: I20070426000435 |
| Provider Name | Mary Ann Zigouris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043343494 PECOS PAC ID: 1658477336 Enrollment ID: I20070427000030 |
| Provider Name | Janet Waye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043433741 PECOS PAC ID: 5395837611 Enrollment ID: I20070816000339 |
| Provider Name | Takkallapelli D Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679552434 PECOS PAC ID: 2062445844 Enrollment ID: I20071101000637 |
| Provider Name | Valeria L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235326067 PECOS PAC ID: 5496842700 Enrollment ID: I20071102000647 |
| Provider Name | Michele Weintraub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679514129 PECOS PAC ID: 5991690554 Enrollment ID: I20071129000556 |
| Provider Name | Shabu Varghese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649499641 PECOS PAC ID: 0042379562 Enrollment ID: I20081112000453 |
| Provider Name | Pamela D Sherwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043305857 PECOS PAC ID: 5193707834 Enrollment ID: I20090409000559 |
| Provider Name | Debbie Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205849890 PECOS PAC ID: 5991857732 Enrollment ID: I20090709000116 |
| Provider Name | Don Alan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386653129 PECOS PAC ID: 1456404367 Enrollment ID: I20090724000306 |
| Provider Name | Efrain Mendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871640847 PECOS PAC ID: 2961591235 Enrollment ID: I20091103000132 |
| Provider Name | Kirtikumar J Pandya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568408870 PECOS PAC ID: 6800936113 Enrollment ID: I20091217000474 |
| Provider Name | Meenakshi M Mohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811905763 PECOS PAC ID: 3173665213 Enrollment ID: I20100127000612 |
| Provider Name | Tanya E. Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346418159 PECOS PAC ID: 6800911975 Enrollment ID: I20100913000658 |
| Provider Name | Lauren Berrios |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881902120 PECOS PAC ID: 4688851223 Enrollment ID: I20110607000571 |
| Provider Name | Jimmy Vargas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346303013 PECOS PAC ID: 6305992736 Enrollment ID: I20110819000556 |
| Provider Name | Silvia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20111101000325 |
| Provider Name | Latamia M White-green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063436160 PECOS PAC ID: 8325015035 Enrollment ID: I20111103000502 |
| Provider Name | Jason B Fields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639289101 PECOS PAC ID: 5496912230 Enrollment ID: I20120206000473 |
| Provider Name | Praveen K Gootam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417148610 PECOS PAC ID: 9234398447 Enrollment ID: I20120307000800 |
| Provider Name | Jennifer M Gonatos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144534835 PECOS PAC ID: 1153513197 Enrollment ID: I20120412000302 |
| Provider Name | Marnie Stefan Acta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336301753 PECOS PAC ID: 7012163231 Enrollment ID: I20120803000250 |
| Provider Name | Sarah Mcmillen Fayad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528225232 PECOS PAC ID: 1759537590 Enrollment ID: I20120809000391 |
| Provider Name | Lauren D Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508872516 PECOS PAC ID: 6901059377 Enrollment ID: I20130115000196 |
| Provider Name | Monica M Seiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568539757 PECOS PAC ID: 0345335238 Enrollment ID: I20130502000258 |
| Provider Name | Gabrielle Ann Buettow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255349106 PECOS PAC ID: 7416194659 Enrollment ID: I20130508000135 |
| Provider Name | Renee E Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386986016 PECOS PAC ID: 5991945842 Enrollment ID: I20130717000478 |
| Provider Name | Julia B Trice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285747766 PECOS PAC ID: 7517969231 Enrollment ID: I20131120001218 |
| Provider Name | Luis A Franco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720048812 PECOS PAC ID: 3173552981 Enrollment ID: I20140210000118 |
| Provider Name | Claire E Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013930205 PECOS PAC ID: 6406079607 Enrollment ID: I20140515000822 |
| Provider Name | Maykel Luna Concepcion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083841852 PECOS PAC ID: 8224297155 Enrollment ID: I20140729000748 |
| Provider Name | Jarryd D. Lunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407260565 PECOS PAC ID: 3476771627 Enrollment ID: I20140829000743 |
| Provider Name | Ernesto Matos-gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578514865 PECOS PAC ID: 5294953329 Enrollment ID: I20140902001343 |
| Provider Name | Cathleen A Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023297678 PECOS PAC ID: 5698855880 Enrollment ID: I20140925001765 |
| Provider Name | Robin A Waters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629487061 PECOS PAC ID: 3476774803 Enrollment ID: I20141028000759 |
| Provider Name | Richard Allan Callahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215378336 PECOS PAC ID: 4587886221 Enrollment ID: I20141112001350 |
| Provider Name | Sarah E Shirina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003218769 PECOS PAC ID: 0547482069 Enrollment ID: I20141117000672 |
| Provider Name | Hanish Sethi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215967328 PECOS PAC ID: 2860382652 Enrollment ID: I20150223000882 |
| Provider Name | Gurkiran Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194967216 PECOS PAC ID: 9931425915 Enrollment ID: I20150310001990 |
| Provider Name | Adrienne R Eisner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144514605 PECOS PAC ID: 5395988950 Enrollment ID: I20150721003213 |
| Provider Name | San K Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821382730 PECOS PAC ID: 0345483681 Enrollment ID: I20151014001765 |
| Provider Name | Ana Suarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164706404 PECOS PAC ID: 8921317819 Enrollment ID: I20151015001008 |
| Provider Name | Richard A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699903641 PECOS PAC ID: 6709186281 Enrollment ID: I20151207000805 |
| Provider Name | Janet Elizabeth Strozeski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497945398 PECOS PAC ID: 3577726827 Enrollment ID: I20160113002355 |
| Provider Name | Renata Angelini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720249030 PECOS PAC ID: 2860667565 Enrollment ID: I20160211001034 |
| Provider Name | Endra Sookoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386933158 PECOS PAC ID: 3577868934 Enrollment ID: I20160223000531 |
| Provider Name | Maria Rosenbloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770957987 PECOS PAC ID: 1557666781 Enrollment ID: I20160225000630 |
| Provider Name | Pradeep D Marballi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760557797 PECOS PAC ID: 5193898617 Enrollment ID: I20160726001878 |
| Provider Name | Kazi F Hossain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588920011 PECOS PAC ID: 8224328448 Enrollment ID: I20160801000291 |
| Provider Name | Rachel Rohaidy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730475823 PECOS PAC ID: 3375838980 Enrollment ID: I20160822001758 |
| Provider Name | Brandon J Deliberato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770882011 PECOS PAC ID: 6800019498 Enrollment ID: I20160823002956 |
| Provider Name | Jing Bu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699905091 PECOS PAC ID: 5597992602 Enrollment ID: I20161026000862 |
| Provider Name | Yasna J Heravi-burgos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881997161 PECOS PAC ID: 3072836972 Enrollment ID: I20161107002246 |
| Provider Name | Matthew C Ferrara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326480294 PECOS PAC ID: 2163701129 Enrollment ID: I20161115000129 |
| Provider Name | David E Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013061530 PECOS PAC ID: 5890948657 Enrollment ID: I20161221001823 |
| Provider Name | Francis X Barth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023109246 PECOS PAC ID: 2264566959 Enrollment ID: I20161230000600 |
| Provider Name | Ingrid C Hernandez Selman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366616047 PECOS PAC ID: 9032343074 Enrollment ID: I20170119000930 |
| Provider Name | Svetlana Zoueva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992998009 PECOS PAC ID: 1052571619 Enrollment ID: I20170309000362 |
| Provider Name | Alexandr Zouev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457335440 PECOS PAC ID: 2668406877 Enrollment ID: I20170321001995 |
| Provider Name | Kristie Jetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750624805 PECOS PAC ID: 2264718931 Enrollment ID: I20170411002648 |
| Provider Name | Haider Shahid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598184145 PECOS PAC ID: 0244517753 Enrollment ID: I20170511000542 |
| Provider Name | Simone M Clement Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952853129 PECOS PAC ID: 2264709732 Enrollment ID: I20170605001773 |
| Provider Name | Radhika Sriram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639217193 PECOS PAC ID: 4385620293 Enrollment ID: I20170606003133 |
| Provider Name | Amy J Tower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376633651 PECOS PAC ID: 2860652575 Enrollment ID: I20170925001145 |
| Provider Name | Kelly Spence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831489657 PECOS PAC ID: 2567768609 Enrollment ID: I20170929002281 |
| Provider Name | Zoe Lorca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306297866 PECOS PAC ID: 2466727847 Enrollment ID: I20171011001505 |
| Provider Name | Tg Sriram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518937309 PECOS PAC ID: 8921097205 Enrollment ID: I20171118000115 |
| Provider Name | Amy M Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912315714 PECOS PAC ID: 9830457258 Enrollment ID: I20171212002918 |
| Provider Name | Kelly J Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215442165 PECOS PAC ID: 1456610443 Enrollment ID: I20180119002403 |
| Provider Name | Christina R Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972859353 PECOS PAC ID: 1355595257 Enrollment ID: I20180122003164 |
| Provider Name | Crystal M Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407294184 PECOS PAC ID: 8820222474 Enrollment ID: I20180126001382 |
| Provider Name | Jennifer A Jackson-wohl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518939362 PECOS PAC ID: 4688664022 Enrollment ID: I20180205001596 |
| Provider Name | Morgan R Dion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275998437 PECOS PAC ID: 1850675810 Enrollment ID: I20180320000796 |
| Provider Name | Jennifer L Geigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124522289 PECOS PAC ID: 8921362443 Enrollment ID: I20180510000223 |
| Provider Name | Harold A Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184079998 PECOS PAC ID: 4587928726 Enrollment ID: I20180516000356 |
| Provider Name | Saraswathi Tirumalasetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821006172 PECOS PAC ID: 1355606401 Enrollment ID: I20180521002051 |
| Provider Name | Gregory P Arthmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417394982 PECOS PAC ID: 0749401107 Enrollment ID: I20180709000786 |
| Provider Name | Lulu S Tsai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811109952 PECOS PAC ID: 2365335767 Enrollment ID: I20180719000798 |
| Provider Name | Raquel C Herrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871783514 PECOS PAC ID: 6103008198 Enrollment ID: I20181018003092 |
| Provider Name | Marc Ettensohn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861753899 PECOS PAC ID: 9133355563 Enrollment ID: I20181110000181 |
| Provider Name | Britani M Lalone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619418225 PECOS PAC ID: 3678845252 Enrollment ID: I20190225001729 |
| Provider Name | Debra L Stibick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588641666 PECOS PAC ID: 4385649193 Enrollment ID: I20190318000703 |
| Provider Name | Narlin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407325244 PECOS PAC ID: 4587907779 Enrollment ID: I20190509001388 |
| Provider Name | Terri M Belanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801954847 PECOS PAC ID: 7719938224 Enrollment ID: I20190610000938 |
| Provider Name | Melanie L Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215335922 PECOS PAC ID: 9537492277 Enrollment ID: I20190611002838 |
| Provider Name | Pavel Sigel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619384906 PECOS PAC ID: 6103174198 Enrollment ID: I20190625002230 |
| Provider Name | Wil E Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720348592 PECOS PAC ID: 2668791963 Enrollment ID: I20190625003031 |
| Provider Name | Lisa M Moser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700368123 PECOS PAC ID: 4183687213 Enrollment ID: I20190731000427 |
| Provider Name | Newton Agrawal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023376936 PECOS PAC ID: 3274862826 Enrollment ID: I20190909000751 |
| Provider Name | Alfredo Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871937391 PECOS PAC ID: 5496018939 Enrollment ID: I20191125000754 |
| Provider Name | Kayla Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528605896 PECOS PAC ID: 9830523620 Enrollment ID: I20200103000697 |
| Provider Name | Nicole A Millar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710123435 PECOS PAC ID: 6507292133 Enrollment ID: I20200130001237 |
| Provider Name | Jamie E Alper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598172496 PECOS PAC ID: 2769764018 Enrollment ID: I20200601000657 |
| Provider Name | Amanda E Humphries |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245684422 PECOS PAC ID: 4981025384 Enrollment ID: I20200610000670 |
| Provider Name | Diego Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548605751 PECOS PAC ID: 6507115326 Enrollment ID: I20200625000643 |
| Provider Name | Ahmed Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497166656 PECOS PAC ID: 3678799798 Enrollment ID: I20200626001625 |
| Provider Name | Lisa A Dush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881193456 PECOS PAC ID: 8921421348 Enrollment ID: I20200701003043 |
| Provider Name | Charteye Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699399691 PECOS PAC ID: 4688098577 Enrollment ID: I20200724001284 |
| Provider Name | William Thomas Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811514342 PECOS PAC ID: 8921423310 Enrollment ID: I20200731002469 |
| Provider Name | Maureen Mansour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801230644 PECOS PAC ID: 4789988098 Enrollment ID: I20200811000432 |
| Provider Name | Kehinde Adesokan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164871687 PECOS PAC ID: 8123448081 Enrollment ID: I20201014001099 |
| Provider Name | Pamela Pedroncelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497981310 PECOS PAC ID: 7416867478 Enrollment ID: I20201021000918 |
| Provider Name | Ali M Metheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235661935 PECOS PAC ID: 5092135517 Enrollment ID: I20201021001796 |
| Provider Name | Jovan S Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437765153 PECOS PAC ID: 0547670804 Enrollment ID: I20201028001056 |
| Provider Name | Taiwo H Emiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729334 PECOS PAC ID: 9234543117 Enrollment ID: I20210204001858 |
| Provider Name | Rowdy J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336612779 PECOS PAC ID: 0547508244 Enrollment ID: I20210309003104 |
| Provider Name | Aaron Slone Jeckell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598031957 PECOS PAC ID: 9739482381 Enrollment ID: I20210414001407 |
| Provider Name | Ruby Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083620124 PECOS PAC ID: 9931167376 Enrollment ID: I20210429000217 |
| Provider Name | Daniel W Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350326 PECOS PAC ID: 3173543725 Enrollment ID: I20210504000909 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20210504001869 |
| Provider Name | Nicole Silva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205250750 PECOS PAC ID: 1951710805 Enrollment ID: I20210506000904 |
| Provider Name | Ana L Paredes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891136867 PECOS PAC ID: 3779992433 Enrollment ID: I20210510001005 |
| Provider Name | Darina V Carcerano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385008 PECOS PAC ID: 7416207568 Enrollment ID: I20210517001158 |
| Provider Name | Jamie Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043318736 PECOS PAC ID: 4486603347 Enrollment ID: I20210518001082 |
| Provider Name | Mark Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20210519003031 |
| Provider Name | Arlene G Bishop-arrindell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265030050 PECOS PAC ID: 2567861404 Enrollment ID: I20210526002948 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20210602000558 |
| Provider Name | Courtney A Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720686884 PECOS PAC ID: 6507266731 Enrollment ID: I20210610000130 |
| Provider Name | Brenda G Burnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043743982 PECOS PAC ID: 0042597031 Enrollment ID: I20210716001170 |
| Provider Name | Jamie Lorraine Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210804003007 |
| Provider Name | Dawit Amare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992959555 PECOS PAC ID: 5395916001 Enrollment ID: I20210819000467 |
| Provider Name | James E Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104118918 PECOS PAC ID: 5799067237 Enrollment ID: I20210916002340 |
| Provider Name | Zoila Jarquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457022097 PECOS PAC ID: 1052700200 Enrollment ID: I20211110000927 |
| Provider Name | Patrick Casey Lorenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184773509 PECOS PAC ID: 9436549359 Enrollment ID: I20211208003390 |
| Provider Name | Usama Ahmad Rafique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629463369 PECOS PAC ID: 3274871223 Enrollment ID: I20211215001661 |
| Provider Name | Chedelie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083294375 PECOS PAC ID: 2365835196 Enrollment ID: I20220131001240 |
| Provider Name | Christiana Hope Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528714177 PECOS PAC ID: 5991190555 Enrollment ID: I20220317000019 |
| Provider Name | Chrysantus Nforbi Fusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205580396 PECOS PAC ID: 1355737248 Enrollment ID: I20220331002826 |
| Provider Name | Mary Dymphina Gambrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740830942 PECOS PAC ID: 1850788993 Enrollment ID: I20220420001161 |
| Provider Name | Jason Leo Quesnelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558029348 PECOS PAC ID: 6608263694 Enrollment ID: I20220421000489 |
| Provider Name | Courtney Judd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962881946 PECOS PAC ID: 3476930090 Enrollment ID: I20220519001061 |
| Provider Name | Robert Paul Blessin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801388657 PECOS PAC ID: 5395124234 Enrollment ID: I20220623000035 |
| Provider Name | Frederick Afton Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083119358 PECOS PAC ID: 3476807207 Enrollment ID: I20220623000889 |
| Provider Name | Carolyn Marie Gaulden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831689827 PECOS PAC ID: 4789063652 Enrollment ID: I20220623001123 |
| Provider Name | Kimbrelee Kaye Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730828625 PECOS PAC ID: 2961881552 Enrollment ID: I20220628003062 |
| Provider Name | Alvaro Jorge Gonzalez Alfonzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619405891 PECOS PAC ID: 0345589651 Enrollment ID: I20220629003666 |
| Provider Name | Heather Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336870799 PECOS PAC ID: 0941680433 Enrollment ID: I20220629003750 |
| Provider Name | Andrew Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154826188 PECOS PAC ID: 8820478183 Enrollment ID: I20220704000131 |
| Provider Name | Sarah L Yankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726934 PECOS PAC ID: 5193105476 Enrollment ID: I20220705000048 |
| Provider Name | Kyle Galati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932698180 PECOS PAC ID: 3072859081 Enrollment ID: I20220706000852 |
| Provider Name | Hayley Ann Nunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053068858 PECOS PAC ID: 0244613271 Enrollment ID: I20220823004168 |
| Provider Name | Bianca Strudwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689056061 PECOS PAC ID: 0941676571 Enrollment ID: I20221021001568 |
| Provider Name | Deep Kalariya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306333513 PECOS PAC ID: 0042682809 Enrollment ID: I20230206000406 |
| Provider Name | Erin Marie Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932805959 PECOS PAC ID: 1850764770 Enrollment ID: I20230223002467 |
| Provider Name | Benita Cardell Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902313034 PECOS PAC ID: 7618341017 Enrollment ID: I20230327002100 |
| Provider Name | Aubrey Anne Francavilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063115665 PECOS PAC ID: 7719352335 Enrollment ID: I20230413001899 |
| Provider Name | Latiere Dinice Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518673854 PECOS PAC ID: 1254706732 Enrollment ID: I20230414001560 |
| Provider Name | Toni Gorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376111286 PECOS PAC ID: 6204293533 Enrollment ID: I20230601001096 |
| Provider Name | Charisse T Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679113906 PECOS PAC ID: 7911364963 Enrollment ID: I20230606002653 |
| Provider Name | Ada Ojobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659086718 PECOS PAC ID: 6002277449 Enrollment ID: I20230801002404 |
| Provider Name | Melissa Jane Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093414542 PECOS PAC ID: 2365816857 Enrollment ID: I20230901003283 |
| Provider Name | Ashley Lauren Ingraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124802921 PECOS PAC ID: 6709240161 Enrollment ID: I20230919000430 |
| Provider Name | Alyssa Mae Bambard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023790201 PECOS PAC ID: 9234593526 Enrollment ID: I20230920000764 |
| Provider Name | Chelsie Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912583063 PECOS PAC ID: 0547615742 Enrollment ID: I20231009000102 |
| Provider Name | Mallory Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144004805 PECOS PAC ID: 8729433875 Enrollment ID: I20231010004087 |
| Provider Name | Elisia Marie Burse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205610177 PECOS PAC ID: 0547616393 Enrollment ID: I20231030003891 |
| Provider Name | Ryan Demoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184085581 PECOS PAC ID: 7416303177 Enrollment ID: I20231101001000 |
| Provider Name | Daniel Clare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033996160 PECOS PAC ID: 8921454505 Enrollment ID: I20231102002393 |
| Provider Name | Mellisa Lynn Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982360418 PECOS PAC ID: 3375990955 Enrollment ID: I20231104000190 |
| Provider Name | Kenneth Bedeker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851451827 PECOS PAC ID: 5395192009 Enrollment ID: I20231116002529 |
| Provider Name | Cody Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699112532 PECOS PAC ID: 8628425352 Enrollment ID: I20231116003102 |
| Provider Name | Gina Jannay Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245577766 PECOS PAC ID: 6901254549 Enrollment ID: I20231121001180 |
| Provider Name | Terence W O'connor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386188415 PECOS PAC ID: 0042668584 Enrollment ID: I20231122001249 |
| Provider Name | Jenine Martin-literski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477939130 PECOS PAC ID: 6709234008 Enrollment ID: I20231128000353 |
| Provider Name | Emily Ann Cohen-wilinsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356858229 PECOS PAC ID: 6709234974 Enrollment ID: I20231128003435 |
| Provider Name | Brianna C Scherden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639522147 PECOS PAC ID: 4587012646 Enrollment ID: I20231129003575 |
| Provider Name | Erica R Fritz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861545816 PECOS PAC ID: 8820446941 Enrollment ID: I20231130001769 |
| Provider Name | Elizabeth E Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588717532 PECOS PAC ID: 8729436779 Enrollment ID: I20231130003235 |
| Provider Name | Victoria Louise Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528389673 PECOS PAC ID: 9638527567 Enrollment ID: I20231201002778 |
| Provider Name | Courtney Nussbaum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124485909 PECOS PAC ID: 1456709237 Enrollment ID: I20231205001515 |
| Provider Name | Vera Vanden-ballin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497808448 PECOS PAC ID: 6709235351 Enrollment ID: I20231208000779 |
| Provider Name | Shelly Jean Raitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609038611 PECOS PAC ID: 3577873215 Enrollment ID: I20231210000114 |
| Provider Name | Matthew David Paulus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043841380 PECOS PAC ID: 6901255355 Enrollment ID: I20231211000763 |
| Provider Name | Ileen Tosado Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376221317 PECOS PAC ID: 7911356035 Enrollment ID: I20231213004216 |
| Provider Name | Brian A Spiegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407329931 PECOS PAC ID: 1557710670 Enrollment ID: I20231213004230 |
| Provider Name | Joy E Toscani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346393394 PECOS PAC ID: 4688023773 Enrollment ID: I20231214002465 |
| Provider Name | Jennifer Lyn Buck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487705984 PECOS PAC ID: 1759730765 Enrollment ID: I20231214003757 |
| Provider Name | Lilith G Greenan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679824171 PECOS PAC ID: 7517316474 Enrollment ID: I20231218002611 |
| Provider Name | Dawn M Mort |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467593723 PECOS PAC ID: 1658721345 Enrollment ID: I20231220004257 |
| Provider Name | Matthew L Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316099377 PECOS PAC ID: 9830549534 Enrollment ID: I20231220004289 |
| Provider Name | Maristella Fiuza Cabral Freire |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003693334 PECOS PAC ID: 1254781818 Enrollment ID: I20231221002729 |
| Provider Name | Diane M Battle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184767113 PECOS PAC ID: 3971953373 Enrollment ID: I20231227003071 |
| Provider Name | Ryan Patrick Kilbane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871063875 PECOS PAC ID: 3779933072 Enrollment ID: I20231228003461 |
| Provider Name | Rachel Lindsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497435077 PECOS PAC ID: 4789034968 Enrollment ID: I20231229002858 |
| Provider Name | Nichole Dalton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710658356 PECOS PAC ID: 1850742792 Enrollment ID: I20240104004058 |
| Provider Name | Christopher Sommerlad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083017917 PECOS PAC ID: 9133570930 Enrollment ID: I20240105001794 |
| Provider Name | Courtney Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427605641 PECOS PAC ID: 9739530288 Enrollment ID: I20240109001936 |
| Provider Name | Kristen Meyer Hanlon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881399269 PECOS PAC ID: 5698126118 Enrollment ID: I20240109004278 |
| Provider Name | Robert M Evanko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184775850 PECOS PAC ID: 7719338169 Enrollment ID: I20240110000864 |
| Provider Name | Rachel S Brockhouse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912513482 PECOS PAC ID: 0042661415 Enrollment ID: I20240110001857 |
| Provider Name | James Bryan Bartlett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700016870 PECOS PAC ID: 3476725755 Enrollment ID: I20240117004669 |
| Provider Name | Lucille Chwalik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568862761 PECOS PAC ID: 5294178331 Enrollment ID: I20240206002779 |
| Provider Name | Megan M Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750722369 PECOS PAC ID: 7214371848 Enrollment ID: I20240222000113 |
| Provider Name | Lori Ellen Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639772411 PECOS PAC ID: 2668816208 Enrollment ID: I20240222000481 |
| Provider Name | Eileen Marie Dobrinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881247880 PECOS PAC ID: 3971947409 Enrollment ID: I20240222003683 |
| Provider Name | Kristi L Forsythe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255849188 PECOS PAC ID: 7719248590 Enrollment ID: I20240319001117 |
| Provider Name | Rachel M Poole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386421840 PECOS PAC ID: 6709224207 Enrollment ID: I20240403001311 |
| Provider Name | Dana Sampoux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922540806 PECOS PAC ID: 2769820661 Enrollment ID: I20240410001968 |
| Provider Name | Samantha Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215505706 PECOS PAC ID: 4385085380 Enrollment ID: I20240508001777 |
Ellie Mental Health - Wesley Chapel Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3636 Galileo Drive, Suite 101 And 102, New Port Richey, FL 34655 Phone: 813-714-7587 | |
Joseph Pisani Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8225 Arevee Dr Lot 125, New Port Richey, FL 34653 Phone: 727-645-1310 | |
Kiddos First Autism Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5006 Trouble Creek Rd Ste 218, New Port Richey, FL 34652 Phone: 813-557-9128 | |
Brandi Sullivan Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Fort Shaw Dr, New Port Richey, FL 34655 Phone: 813-751-4804 | |
Counseling Resolutions, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Little Rd, Suite 102, New Port Richey, FL 34654 Phone: 727-967-3367 Fax: 727-849-0066 | |
Baycare Life Management-new Port Richey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 Rowan Rd, New Port Richey, FL 34653 Phone: 727-841-4430 | |
Pk Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4113 Little Rd, Unit 103, New Port Richey, FL 34655 Phone: 727-376-2880 Fax: 727-816-9745 |