| Modern Psychiatry And Wellness Llc | |
|
1910 Fairgrove Ave Ste E Hamilton OH 45011-1930 | |
| (513) 795-7557 | |
| (513) 297-7577 |
| Full Name | Modern Psychiatry And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1910 Fairgrove Ave Ste E, Hamilton, Ohio |
| Authorized Official Name and Position | Quinton Moss (CEO) |
| Authorized Official Contact | 5138680055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Psychiatry And Wellness Llc 1910 Fairgrove Ave Ste E Hamilton OH 45011-1930 Ph: (513) 795-7557 | Modern Psychiatry And Wellness Llc 1910 Fairgrove Ave Ste E Hamilton OH 45011-1930 Ph: (513) 795-7557 |
| NPI Number | 1225260888 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/07/2020 |
| Medicare PECOS PAC ID | 6608029962 |
|---|---|
| Medicare Enrollment ID | O20130117000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225260888 | NPI | - | NPPES |
| 2444144 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Ohio) | Primary |
| Provider Name | Quinton E Moss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306993985 PECOS PAC ID: 4880595271 Enrollment ID: I20040119000282 |
| Provider Name | Linda Griffin Nsombi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649587692 PECOS PAC ID: 0547454746 Enrollment ID: I20101102000282 |
| Provider Name | Deborah A Stevison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740520402 PECOS PAC ID: 9537304928 Enrollment ID: I20130408000491 |
| Provider Name | Mary Leyendecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417322397 PECOS PAC ID: 3173826559 Enrollment ID: I20160119000664 |
| Provider Name | Alicia A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952726556 PECOS PAC ID: 9335439579 Enrollment ID: I20160601000486 |
| Provider Name | Ryan P Glass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952754335 PECOS PAC ID: 3173807807 Enrollment ID: I20170224001426 |
| Provider Name | Ann M Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073932026 PECOS PAC ID: 2567725799 Enrollment ID: I20180420001616 |
| Provider Name | Antoinette M Thacker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750722286 PECOS PAC ID: 5496172504 Enrollment ID: I20200902003496 |
| Provider Name | Arrey I Eyongherok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205343936 PECOS PAC ID: 9931529427 Enrollment ID: I20201022001125 |
| Provider Name | Lady Christine Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548522436 PECOS PAC ID: 9537566716 Enrollment ID: I20210930003085 |
| Provider Name | Bernice Lorene Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912477589 PECOS PAC ID: 6507895463 Enrollment ID: I20220104002075 |
| Provider Name | Tracy L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508318239 PECOS PAC ID: 8527438993 Enrollment ID: I20221228002997 |
| Provider Name | Erin Kutchera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578975785 PECOS PAC ID: 1355700634 Enrollment ID: I20230705001152 |
| Provider Name | Joshua Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235534041 PECOS PAC ID: 0648623959 Enrollment ID: I20240201004032 |
| Provider Name | Ellen Lamm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811406770 PECOS PAC ID: 1658714563 Enrollment ID: I20240207004095 |
| Provider Name | Catherine Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023679123 PECOS PAC ID: 4183068869 Enrollment ID: I20240221002335 |
| Provider Name | Bradly Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740682863 PECOS PAC ID: 0648614255 Enrollment ID: I20240221003869 |
| Provider Name | Eric Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265086573 PECOS PAC ID: 5597100099 Enrollment ID: I20240223002268 |
| Provider Name | Marianna Lynn Zdinak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831605849 PECOS PAC ID: 0345685806 Enrollment ID: I20240224000114 |
| Provider Name | Sydney Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952977944 PECOS PAC ID: 6608214788 Enrollment ID: I20240409002372 |
Hamilton Health Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6531 Winford Ave, Hamilton, OH 45011 Phone: 513-863-2273 | |
Neurology Associates Of Southern Ohio Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Cereal Ave, Ste 212, Hamilton, OH 45013 Phone: 513-867-2560 Fax: 513-737-3389 | |
Rosenzweig Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Ridgefield Rd, Hamilton, OH 45013 Phone: 513-463-8830 | |
Butler Behavioral Health Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-881-7189 Fax: 513-881-7188 | |
The Fort Hamilton Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Eaton Avenue, Hamilton, OH 45013 Phone: 513-585-8069 | |
Iris A. Pfeffer&associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1499 Main St, Hamilton, OH 45013 Phone: 513-737-0545 Fax: 513-737-0545 | |
Butler Behavioral Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-881-7189 Fax: 513-881-7188 |