| Allied Mental Health Specialty Group Sc | |
|
1334 Hosford St Ste B Hudson WI 54016-9230 | |
| (715) 808-0795 | |
| (715) 808-0361 |
| Full Name | Allied Mental Health Specialty Group Sc |
|---|---|
| Speciality | Psychologist |
| Location | 1334 Hosford St Ste B, Hudson, Wisconsin |
| Authorized Official Name and Position | Bradley G Nevins (OWNER) |
| Authorized Official Contact | 7158080795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Mental Health Specialty Group Sc 1334 Hosford St Ste B Hudson WI 54016-9230 Ph: (715) 808-0795 | Allied Mental Health Specialty Group Sc 1334 Hosford St Ste B Hudson WI 54016-9230 Ph: (715) 808-0795 |
| NPI Number | 1831315191 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 05/09/2020 |
| Certification Date | 05/09/2020 |
| Medicare PECOS PAC ID | 9234155136 |
|---|---|
| Medicare Enrollment ID | O20051020000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831315191 | NPI | - | NPPES |
| 276P4BR | Other | MN | GROUP NUMBER BCBS BNEVINS |
| 374826056003 | Other | WI | BCBS ANEVINS PIN |
| 1710043070 | Other | WI | NPI INDIVIDUAL ANEVINS |
| 1982771317 | Other | MN | NPI IND NUM ANGELA SILER |
| 39172147012 | Other | WI | BCBS GROUP NUMBER BEVINS |
| 471547731E03 | Other | WI | BCBS PIN BNEVINS |
| 277P4NE | Other | MN | BCBS IND PROV NUM BNEVINS |
| 39087700 | Medicaid | WI | |
| 61-57474 | Other | WI | UBH BRAD NEVINS |
| 87G89NE | Other | MN | BCBS AUDREY NEVINS |
| 96G67SI | Other | MN | BCBS IND NUM A SILER |
| 936451035211 | Other | MN | PREFERREDONE ANEVINS PIN |
| 165875100 | Medicaid | MN | |
| 62-70147 | Other | WI | UBH AUDREYNEVINS |
| 39692000 | Medicaid | WI | |
| 110795 | Other | MN | BNEVINS HEALTHPARTNERS GR |
| 87G99BR | Other | MN | GROUP NUM A NEVINS |
| 96G77BR | Other | MN | GROUP NUM ASILER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | 1436-057 (Wisconsin) | Secondary |
| Provider Name | Bradley G Nevins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336248137 PECOS PAC ID: 9335116649 Enrollment ID: I20040915001022 |
| Provider Name | Katherine R Priebe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477072999 PECOS PAC ID: 4880032036 Enrollment ID: I20240405003244 |
| Provider Name | Audrey B Nevins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710043070 PECOS PAC ID: 5991108326 Enrollment ID: I20240405003711 |
Baldwin Area Medical Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 2nd St, Suite 302, Hudson, WI 54016 Phone: 715-684-3311 Fax: 715-684-4757 | |
Hudson Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Dominion Drive, Suite A, Hudson, WI 54016 Phone: 715-808-8070 Fax: 715-531-6761 | |
Couples & Family Therapy Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2217 Vine St, Suite 206, Hudson, WI 54016 Phone: 715-441-1828 Fax: 888-802-9673 | |
Integra Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 2nd St, Hudson, WI 54016 Phone: 715-386-9011 | |
Beyond Behavior, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St Ste 103, Hudson, WI 54016 Phone: 715-808-8555 | |
Croix Counseling & Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Suite 104, Hudson, WI 54016 Phone: 715-377-0000 Fax: 715-377-0010 | |
Pamela J. Henkel D.b.a. Hudson Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Stageline Rd, Suite 7, Hudson, WI 54016 Phone: 715-531-6760 Fax: 715-531-6761 |