| Main Street Clinical Associates, Pa | |
|
3326 Durham Chapel Hill Blvd. Bldg. C, Suite 230 Durham NC 27707-2600 | |
| (919) 286-3453 | |
| (919) 286-7033 |
| Full Name | Main Street Clinical Associates, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 3326 Durham Chapel Hill Blvd., Durham, North Carolina |
| Authorized Official Name and Position | Shannon Van Wey (TREASURER) |
| Authorized Official Contact | 9192863453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Clinical Associates, Pa 3326 Durham Chapel Hill Blvd. Bldg. C, Suite 230 Durham NC 27707-2600 Ph: (919) 286-3453 | Main Street Clinical Associates, Pa 3326 Durham Chapel Hill Blvd. Bldg. C, Suite 230 Durham NC 27707-2600 Ph: (919) 286-3453 |
| NPI Number | 1922035260 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 07/11/2019 |
| Medicare PECOS PAC ID | 8123015435 |
|---|---|
| Medicare Enrollment ID | O20040428001210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922035260 | NPI | - | NPPES |
| Provider Name | Margaret E Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174533996 PECOS PAC ID: 3971651704 Enrollment ID: I20090504000539 |
| Provider Name | Lakshmi Sreehama Kamaraju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134187040 PECOS PAC ID: 9335288323 Enrollment ID: I20091204000229 |
| Provider Name | Matthew J Conner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184899395 PECOS PAC ID: 0840460374 Enrollment ID: I20110818000939 |
| Provider Name | Esther Robie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003067752 PECOS PAC ID: 7315263993 Enrollment ID: I20150225000893 |
| Provider Name | Gregory A Welikson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326299546 PECOS PAC ID: 4082970694 Enrollment ID: I20171115002276 |
| Provider Name | Jon William P Lentz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225696552 PECOS PAC ID: 7719216142 Enrollment ID: I20190911000904 |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Milicia Tedder Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Spring Creek Dr, Durham, NC 27704 Phone: 919-697-1674 |