| Optum Behavioral Care Of Virginia, Inc. | |
|
400 Poydras St Ste 1950 New Orleans LA 70130-3341 | |
| (504) 322-3837 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Virginia, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 400 Poydras St Ste 1950, New Orleans, Louisiana |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6038542929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Virginia, Inc. 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (603) 854-2929 | Optum Behavioral Care Of Virginia, Inc. 400 Poydras St Ste 1950 New Orleans LA 70130-3341 Ph: (504) 322-3837 |
| NPI Number | 1831962265 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 3971945924 |
|---|---|
| Medicare Enrollment ID | O20241001001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831962265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Morgan B Feibelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902989833 PECOS PAC ID: 9436242963 Enrollment ID: I20070829000621 |
| Provider Name | Asa P Pharr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114248499 PECOS PAC ID: 5991929044 Enrollment ID: I20140612000751 |
| Provider Name | Andrew Sander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417271438 PECOS PAC ID: 1557675121 Enrollment ID: I20150728003793 |
| Provider Name | Jennifer C Greco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669796678 PECOS PAC ID: 3577870575 Enrollment ID: I20150923000499 |
| Provider Name | Vanessa Batiste-leal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336797703 PECOS PAC ID: 3577094630 Enrollment ID: I20241001001940 |
| Provider Name | Casey Sommers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437625431 PECOS PAC ID: 7012440076 Enrollment ID: I20241029002936 |
| Provider Name | Jonathan Aron Nierman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801433040 PECOS PAC ID: 1850824848 Enrollment ID: I20241029003917 |
| Provider Name | Jordan Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124864533 PECOS PAC ID: 7416480298 Enrollment ID: I20241031003873 |
| Provider Name | Ronald Blaine Grice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629784178 PECOS PAC ID: 9133652837 Enrollment ID: I20241104000464 |
| Provider Name | Jill Michael Mccall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487911392 PECOS PAC ID: 1052845609 Enrollment ID: I20241105003715 |
| Provider Name | Aldo Valentino Mejia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922443381 PECOS PAC ID: 4486933629 Enrollment ID: I20241107002470 |
| Provider Name | Daja Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811485683 PECOS PAC ID: 7911433610 Enrollment ID: I20241204003640 |
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