Mental Health Unit | |
1800 E Park Ave State College PA 16803-6701 | |
(814) 231-7000 | |
Not Available |
Full Name | Mental Health Unit |
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Speciality | Psychiatric Unit |
Location | 1800 E Park Ave, State College, Pennsylvania |
Authorized Official Name and Position | Bryan Roach (CFO) |
Authorized Official Contact | 8142346148 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mental Health Unit 1800 E Park Ave State College PA 16803-6701 Ph: (814) 231-7000 | Mental Health Unit 1800 E Park Ave State College PA 16803-6701 Ph: (814) 231-7000 |
NPI Number | 1710958251 |
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Provider Enumeration Date | 02/01/2006 |
Last Update Date | 10/04/2021 |
Certification Date | 10/04/2021 |
Medicare PECOS PAC ID | 2365353364 |
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Medicare Enrollment ID | O20031117000703 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710958251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 39S268 (Pennsylvania) | Primary |
Provider Name | Candace R Good |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144293770 PECOS PAC ID: 4880666445 Enrollment ID: I20040812000924 |
Provider Name | Arthur John J Decarle |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356349450 PECOS PAC ID: 2567429954 Enrollment ID: I20041217000015 |
Provider Name | Jeanne A Lumadue |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1376525055 PECOS PAC ID: 5991756918 Enrollment ID: I20050208000348 |
Provider Name | Lynette Turay |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861507923 PECOS PAC ID: 2668642398 Enrollment ID: I20120530000299 |
Provider Name | Dennis J Dombrowski |
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Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1528261328 PECOS PAC ID: 4385809813 Enrollment ID: I20120706000195 |
Provider Name | Melissa C Stokes |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780897249 PECOS PAC ID: 9032303763 Enrollment ID: I20120727000350 |
Provider Name | Michael Md Turk |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720198815 PECOS PAC ID: 2567692908 Enrollment ID: I20140304000157 |
Provider Name | Ruth E Yoder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295138899 PECOS PAC ID: 5395068977 Enrollment ID: I20150107000698 |
Provider Name | David S Helsel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669463840 PECOS PAC ID: 2961428404 Enrollment ID: I20151016000185 |
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