| Mcb Behavioral Health, P.l.l.c. | |
|
503 Centre View Blvd Crestview Hills KY 41017-3444 | |
| (859) 426-7800 | |
| (859) 426-7804 |
| Full Name | Mcb Behavioral Health, P.l.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 503 Centre View Blvd, Crestview Hills, Kentucky |
| Authorized Official Name and Position | Mariana Belvedere (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8594267800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcb Behavioral Health, P.l.l.c. 503 Centre View Blvd Crestview Hills KY 41017-3444 Ph: (859) 426-7800 | Mcb Behavioral Health, P.l.l.c. 503 Centre View Blvd Crestview Hills KY 41017-3444 Ph: (859) 426-7800 |
| NPI Number | 1336330422 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Medicare PECOS PAC ID | 1759276223 |
|---|---|
| Medicare Enrollment ID | O20040216000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336330422 | NPI | - | NPPES |
| 11585564 | Other | KY | CAQH |
| 89000863 | Medicaid | KY | |
| 000000343674 | Other | KY | ANTHEM BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | KY-1304 (Kentucky) | Primary |
| Provider Name | Mariana C Belvedere |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942284963 PECOS PAC ID: 8820983398 Enrollment ID: I20040216000640 |
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