| Optum Behavioral Care Of Virginia, Inc. | |
|
7760 Shrader Rd Ste B Henrico VA 23228-2552 | |
| (804) 591-0002 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Virginia, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 7760 Shrader Rd Ste B, Henrico, Virginia |
| 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. 7760 Shrader Rd Ste B Henrico VA 23228-2552 Ph: (804) 591-0002 |
| NPI Number | 1396518718 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 3971945924 |
|---|---|
| Medicare Enrollment ID | O20241104001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396518718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Mccauley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649312760 PECOS PAC ID: 2567568397 Enrollment ID: I20070510000403 |
| Provider Name | Carla J Crews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972634004 PECOS PAC ID: 2961564018 Enrollment ID: I20081223000681 |
| Provider Name | Rebecca S Mccracken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366579609 PECOS PAC ID: 0941465884 Enrollment ID: I20120627000601 |
| Provider Name | Jonathan Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073778973 PECOS PAC ID: 2769635713 Enrollment ID: I20121227000091 |
| Provider Name | Paula K Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669405734 PECOS PAC ID: 3971507708 Enrollment ID: I20160418000329 |
| Provider Name | Shenika L Whitaker-carlos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609412246 PECOS PAC ID: 6608203922 Enrollment ID: I20200226002937 |
| Provider Name | Allison D Ernest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235762964 PECOS PAC ID: 8628408507 Enrollment ID: I20200416000654 |
| Provider Name | Demetrous J Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407460413 PECOS PAC ID: 4082026125 Enrollment ID: I20201215002067 |
| Provider Name | Ryan A Ernest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235706250 PECOS PAC ID: 5092617720 Enrollment ID: I20211122001393 |
| Provider Name | Robyn Hilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376204685 PECOS PAC ID: 0941670962 Enrollment ID: I20230106002075 |
| Provider Name | Maddison C Schiafo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528770740 PECOS PAC ID: 5395101034 Enrollment ID: I20230522003386 |
| Provider Name | Linda Jean Thimons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144475849 PECOS PAC ID: 7719338508 Enrollment ID: I20240325001524 |
| Provider Name | Shauna Jeanette Polen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457139792 PECOS PAC ID: 6002253101 Enrollment ID: I20240325003974 |
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