| Newman Avenue Associates, Pc | |
|
110 Newman Ave Harrisonburg VA 22801-4004 | |
| (540) 434-2848 | |
| (540) 434-2883 |
| Full Name | Newman Avenue Associates, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Newman Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Bonita H Jantzi (PARTNER) |
| Authorized Official Contact | 5404342848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newman Avenue Associates, Pc 110 Newman Ave Harrisonburg VA 22801-4004 Ph: (540) 434-2848 | Newman Avenue Associates, Pc 110 Newman Ave Harrisonburg VA 22801-4004 Ph: (540) 434-2848 |
| NPI Number | 1720122146 |
|---|---|
| Provider Enumeration Date | 02/18/2007 |
| Last Update Date | 03/11/2009 |
| Medicare PECOS PAC ID | 3375533425 |
|---|---|
| Medicare Enrollment ID | O20040512001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720122146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1074 (Virginia) | Primary |
| Provider Name | Bonita Jantzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487639985 PECOS PAC ID: 0446240592 Enrollment ID: I20040512001338 |
| Provider Name | Sandra Weaver |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366454720 PECOS PAC ID: 2668652553 Enrollment ID: I20110209001014 |
| Provider Name | Saranna T Rankin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841358314 PECOS PAC ID: 3072785476 Enrollment ID: I20111006000772 |
| Provider Name | Jenny Anne Kuszyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528168150 PECOS PAC ID: 7416395280 Enrollment ID: I20240329002272 |
| Provider Name | Heather Flory Driver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578878039 PECOS PAC ID: 0345681482 Enrollment ID: I20240507003733 |
| Provider Name | Mercy Henning Souder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528391224 PECOS PAC ID: 4284075367 Enrollment ID: I20240508000562 |
| Provider Name | Rose Stoltzfus Huyard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346212206 PECOS PAC ID: 3779025085 Enrollment ID: I20240602000105 |
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