| New Dawn Psychiatric Services, Pllc | |
|
400 Glenwood Ave Suite 8 Kinston NC 28501-3870 | |
| (252) 686-8092 | |
| (252) 686-8092 |
| Full Name | New Dawn Psychiatric Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 400 Glenwood Ave, Kinston, North Carolina |
| Authorized Official Name and Position | Punitha Rathnam (OWNER/MD) |
| Authorized Official Contact | 2526868093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dawn Psychiatric Services, Pllc 400 Glenwood Ave Suite 8 Kinston NC 28501-3870 Ph: (252) 686-8092 | New Dawn Psychiatric Services, Pllc 400 Glenwood Ave Suite 8 Kinston NC 28501-3870 Ph: (252) 686-8092 |
| NPI Number | 1245637701 |
|---|---|
| Provider Enumeration Date | 11/28/2014 |
| Last Update Date | 12/19/2014 |
| Medicare PECOS PAC ID | 6204159320 |
|---|---|
| Medicare Enrollment ID | O20141222001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245637701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2010-01045 (North Carolina) | Primary |
| Provider Name | Deborah L Pickard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467772384 PECOS PAC ID: 0042209025 Enrollment ID: I20040506001345 |
| Provider Name | Gary G Leonhardt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538183942 PECOS PAC ID: 3971630989 Enrollment ID: I20100423000119 |
| Provider Name | Punitha I Rathnam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558564005 PECOS PAC ID: 5597898858 Enrollment ID: I20100806000508 |
| Provider Name | Mark R Stroeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083763528 PECOS PAC ID: 5294918801 Enrollment ID: I20110318000755 |
| Provider Name | Elizabeth L Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861554701 PECOS PAC ID: 8426205782 Enrollment ID: I20120822000227 |
| Provider Name | Karen W Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164650420 PECOS PAC ID: 6103979232 Enrollment ID: I20130129000147 |
| Provider Name | Tammy Hardison Song |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437574399 PECOS PAC ID: 7810294782 Enrollment ID: I20160322000359 |
| Provider Name | Lisa R Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760774772 PECOS PAC ID: 6608093398 Enrollment ID: I20180709000059 |
| Provider Name | Sonya R Isler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336628957 PECOS PAC ID: 4587917695 Enrollment ID: I20181018002758 |
| Provider Name | Maureen Guilfoyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407875693 PECOS PAC ID: 5193781268 Enrollment ID: I20210715000139 |
| Provider Name | Kalena Renee Bloodcloud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023503372 PECOS PAC ID: 1951760529 Enrollment ID: I20230630000063 |
| Provider Name | Angela Natalia Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720648405 PECOS PAC ID: 7517326069 Enrollment ID: I20230630003109 |
| Provider Name | Joseph D Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144741836 PECOS PAC ID: 7618312950 Enrollment ID: I20240227001807 |
| Provider Name | Tiffany Leanne Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609274687 PECOS PAC ID: 2567899495 Enrollment ID: I20240308003135 |
Primary Health Choice, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 W Vernon Ave, Kinston, NC 28501 Phone: 252-522-1300 | |
Optimized Access,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Gordon St, Kinston, NC 28501 Phone: 252-367-8393 | |
Community Care Center Ind Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Queen St, Suite 118, Kinston, NC 28501 Phone: 252-208-1928 Fax: 252-559-2055 | |
Cnc/access, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Hardee Rd, Suite A, Kinston, NC 28504 Phone: 800-866-0860 | |
Hills Dda Group Home Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2017 East Ridge Cir, Kinston, NC 28501 Phone: 252-522-4869 | |
Rha Health Services Nc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1612 Hardee Rd, Kinston, NC 28504 Phone: 800-848-0180 | |
Mary's Loving Arms Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1573 Savannah Heights Dr, Kinston, NC 28501 Phone: 252-522-1071 Fax: 252-522-1071 |