| Mid-america Mental Health Llc | |
|
402 Wall St. Ste 23 Valparaiso IN 46383-2567 | |
| (219) 615-3136 | |
| (219) 615-3147 |
| Full Name | Mid-america Mental Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 402 Wall St., Valparaiso, Indiana |
| Authorized Official Name and Position | Sidarth Singh (OWNER) |
| Authorized Official Contact | 2198369200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-america Mental Health Llc 9335 Calumet Ave. Ste D Munster IN 46321-4176 Ph: (219) 836-9200 | Mid-america Mental Health Llc 402 Wall St. Ste 23 Valparaiso IN 46383-2567 Ph: (219) 615-3136 |
| NPI Number | 1710435094 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 02/28/2018 |
| Medicare PECOS PAC ID | 9739476201 |
|---|---|
| Medicare Enrollment ID | O20160927001666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710435094 | NPI | - | NPPES |
| Provider Name | Sonia B Yballe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306838784 PECOS PAC ID: 5991607350 Enrollment ID: I20040126000112 |
| Provider Name | Martha M O'danovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912992819 PECOS PAC ID: 0547294852 Enrollment ID: I20050926000285 |
| Provider Name | Wajid A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629162359 PECOS PAC ID: 7911915624 Enrollment ID: I20170322000663 |
| Provider Name | George A Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437373412 PECOS PAC ID: 8527008424 Enrollment ID: I20180529000525 |
| Provider Name | Leroy M Lambey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754039 PECOS PAC ID: 9830448885 Enrollment ID: I20210601001398 |
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