| Osu Psychiatry, Llc | |
|
1670 Upham Dr Suite 140 Columbus OH 43210-1250 | |
| (614) 293-9600 | |
| (614) 293-4200 |
| Full Name | Osu Psychiatry, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1670 Upham Dr, Columbus, Ohio |
| Authorized Official Name and Position | Amanda Lucas (EXECUTIVE DIRECTOR OSU & HARDING) |
| Authorized Official Contact | 6142938283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Psychiatry, Llc 1670 Upham Dr Suite 140 Columbus OH 43210-1250 Ph: (614) 293-9600 | Osu Psychiatry, Llc 1670 Upham Dr Suite 140 Columbus OH 43210-1250 Ph: (614) 293-9600 |
| NPI Number | 1194773317 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 05/31/2012 |
| Medicare PECOS PAC ID | 0749272714 |
|---|---|
| Medicare Enrollment ID | O20040331000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194773317 | NPI | - | NPPES |
| 2454035 | Medicaid | OH |
| Provider Name | Amy Beth Hoisington-stabile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073608931 PECOS PAC ID: 4082508841 Enrollment ID: I20040211001251 |
| Provider Name | Lawrence Eugene Arnold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902829492 PECOS PAC ID: 3971595612 Enrollment ID: I20040401000707 |
| Provider Name | Yiu-chung Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720036346 PECOS PAC ID: 8729070495 Enrollment ID: I20040401000938 |
| Provider Name | Lawrence D Needleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407962863 PECOS PAC ID: 3678565009 Enrollment ID: I20040402000991 |
| Provider Name | Julie A Niedermier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013966308 PECOS PAC ID: 5890787238 Enrollment ID: I20040402001030 |
| Provider Name | Lacramioara Spetie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205884814 PECOS PAC ID: 6901898394 Enrollment ID: I20040402001345 |
| Provider Name | James Louis Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851340913 PECOS PAC ID: 0345232336 Enrollment ID: I20040402001413 |
| Provider Name | Ghada N Lteif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881798304 PECOS PAC ID: 3072507961 Enrollment ID: I20040413001175 |
| Provider Name | Raymond G Troy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881775104 PECOS PAC ID: 9931182987 Enrollment ID: I20040610000716 |
| Provider Name | Leah S.e. Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861413684 PECOS PAC ID: 9931184439 Enrollment ID: I20040621000115 |
| Provider Name | James Harvey Duffee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649263203 PECOS PAC ID: 0941279061 Enrollment ID: I20040927000524 |
| Provider Name | Robert A Kowatch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447279823 PECOS PAC ID: 2062467632 Enrollment ID: I20050316000588 |
| Provider Name | Anne A Mcvey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750411468 PECOS PAC ID: 0941248892 Enrollment ID: I20050420001274 |
| Provider Name | Sharla M Wells-di Gregorio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972540144 PECOS PAC ID: 0042245201 Enrollment ID: I20050927001157 |
| Provider Name | Valerie Erbaugh Houseknecht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831250695 PECOS PAC ID: 1658390273 Enrollment ID: I20051114000308 |
| Provider Name | Charleen M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366400020 PECOS PAC ID: 5991728537 Enrollment ID: I20060110000001 |
| Provider Name | Vickie K Killian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538232103 PECOS PAC ID: 9032123971 Enrollment ID: I20060131000555 |
| Provider Name | Darryl Jon Brush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689773418 PECOS PAC ID: 5890702583 Enrollment ID: I20060321000798 |
| Provider Name | Eleonora Sikic-klisovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699723205 PECOS PAC ID: 4587650890 Enrollment ID: I20060414000116 |
| Provider Name | John Campo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326010802 PECOS PAC ID: 3173536729 Enrollment ID: I20060726000214 |
| Provider Name | Hossam Heshmat Guirgis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184645004 PECOS PAC ID: 7315940970 Enrollment ID: I20060821000400 |
| Provider Name | Ram Chandran Kalyanam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801860457 PECOS PAC ID: 0143227769 Enrollment ID: I20061024000531 |
| Provider Name | David P Kasick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386791861 PECOS PAC ID: 5698775005 Enrollment ID: I20070109000486 |
| Provider Name | Kent A Colburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588739890 PECOS PAC ID: 0143326488 Enrollment ID: I20070503000393 |
| Provider Name | Shamsun Nahar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972644235 PECOS PAC ID: 6709986904 Enrollment ID: I20070717000005 |
| Provider Name | Subhdeep Virk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225195381 PECOS PAC ID: 4587680517 Enrollment ID: I20070907000758 |
| Provider Name | Kristin K Kuntz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932397221 PECOS PAC ID: 5496836454 Enrollment ID: I20080115000854 |
| Provider Name | Maria Mary Stamatakos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306054861 PECOS PAC ID: 3072686625 Enrollment ID: I20080716000103 |
| Provider Name | Joanne E Engles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174624233 PECOS PAC ID: 3678624632 Enrollment ID: I20090702000315 |
| Provider Name | Jessica Strafford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750507265 PECOS PAC ID: 3375689177 Enrollment ID: I20091008000345 |
| Provider Name | Teresa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700011871 PECOS PAC ID: 7315088093 Enrollment ID: I20091231000381 |
| Provider Name | Megan Beth Schabbing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831302140 PECOS PAC ID: 0547391740 Enrollment ID: I20100702000429 |
| Provider Name | Julie N Hyman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366631681 PECOS PAC ID: 7012033541 Enrollment ID: I20100922000105 |
| Provider Name | Basheer Lotfi-fard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659598860 PECOS PAC ID: 4284829938 Enrollment ID: I20101108001434 |
| Provider Name | Bryan M Cairns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841419165 PECOS PAC ID: 9133305618 Enrollment ID: I20110518000086 |
| Provider Name | Julie E Teater |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184880825 PECOS PAC ID: 1557523651 Enrollment ID: I20120508000162 |
| Provider Name | Jessica A Lammers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902068430 PECOS PAC ID: 1759546930 Enrollment ID: I20120713000532 |
| Provider Name | Blessing Igboeli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053543603 PECOS PAC ID: 5698921997 Enrollment ID: I20120801000676 |
| Provider Name | Maureen Maher-bridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588845358 PECOS PAC ID: 7517119589 Enrollment ID: I20121221000099 |
| Provider Name | Bethany Lynne Reiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124364401 PECOS PAC ID: 7810141140 Enrollment ID: I20130213000474 |
| Provider Name | Kristen M Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760729594 PECOS PAC ID: 9638315054 Enrollment ID: I20130409000356 |
| Provider Name | Samar Z Mccutcheon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427287317 PECOS PAC ID: 3779723101 Enrollment ID: I20130709000250 |
| Provider Name | Casia E Horseman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669512877 PECOS PAC ID: 6800960808 Enrollment ID: I20130819000045 |
| Provider Name | Ernesto A Ortiz Cruzado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194926394 PECOS PAC ID: 0749362762 Enrollment ID: I20130910000925 |
| Provider Name | David Axelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568434587 PECOS PAC ID: 2365575008 Enrollment ID: I20130924000865 |
| Provider Name | Helena A Rempala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154432979 PECOS PAC ID: 5294893954 Enrollment ID: I20130924000912 |
| Provider Name | Rajeev Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932360005 PECOS PAC ID: 4284878687 Enrollment ID: I20130925000843 |
| Provider Name | Kristina Renee Jiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508027129 PECOS PAC ID: 7113164492 Enrollment ID: I20130927000699 |
| Provider Name | Katherine B Brownlowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083789374 PECOS PAC ID: 7416096920 Enrollment ID: I20131205001139 |
| Provider Name | Jessica Belser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003248428 PECOS PAC ID: 2567699655 Enrollment ID: I20131217000897 |
| Provider Name | Tamar L Gur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821223561 PECOS PAC ID: 2961639059 Enrollment ID: I20131217001129 |
| Provider Name | Walter H Stearns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275746588 PECOS PAC ID: 8426102856 Enrollment ID: I20131227001057 |
| Provider Name | Craig J Parris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400595 PECOS PAC ID: 3072741735 Enrollment ID: I20140102001398 |
| Provider Name | Laura Boxley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922341072 PECOS PAC ID: 7416186135 Enrollment ID: I20140129000902 |
| Provider Name | Cheryl Carmin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225136583 PECOS PAC ID: 8022264886 Enrollment ID: I20140421000709 |
| Provider Name | Kevin C Reeves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003135245 PECOS PAC ID: 2163662370 Enrollment ID: I20140701001703 |
| Provider Name | Joyce T Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558522979 PECOS PAC ID: 8022242049 Enrollment ID: I20140915001398 |
| Provider Name | Ramya G Goyal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285896282 PECOS PAC ID: 3678793684 Enrollment ID: I20140925000707 |
| Provider Name | Marjorie M Grafton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730510496 PECOS PAC ID: 1355668203 Enrollment ID: I20150402001310 |
| Provider Name | Lisa M Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699164855 PECOS PAC ID: 8022337773 Enrollment ID: I20150501000909 |
| Provider Name | Nicholas J Breitborde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225363849 PECOS PAC ID: 2668510082 Enrollment ID: I20150527002749 |
| Provider Name | Anna J Kerlek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295992238 PECOS PAC ID: 6800109851 Enrollment ID: I20150720001732 |
| Provider Name | Mary R Cairns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689808289 PECOS PAC ID: 5092970780 Enrollment ID: I20151006000173 |
| Provider Name | Nadia Mohamed El Fangary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710236971 PECOS PAC ID: 5991013245 Enrollment ID: I20151006001708 |
| Provider Name | Karen R Jaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578930350 PECOS PAC ID: 4486963410 Enrollment ID: I20151014001260 |
| Provider Name | Douglas A Misquitta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619268885 PECOS PAC ID: 5890936629 Enrollment ID: I20151028002368 |
| Provider Name | Sathyan Gurumurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679890529 PECOS PAC ID: 8224279179 Enrollment ID: I20160520000391 |
| Provider Name | Karen Hixson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447610258 PECOS PAC ID: 2668761164 Enrollment ID: I20160524000561 |
| Provider Name | James L Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679920425 PECOS PAC ID: 7810289188 Enrollment ID: I20160706001780 |
| Provider Name | Heather Mcginty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902252877 PECOS PAC ID: 8527351741 Enrollment ID: I20160726002385 |
| Provider Name | Justin Barterian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124478946 PECOS PAC ID: 3072807353 Enrollment ID: I20160809002393 |
| Provider Name | James Houle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306196050 PECOS PAC ID: 1557510781 Enrollment ID: I20160829000798 |
| Provider Name | Derrick A Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669823134 PECOS PAC ID: 9234427253 Enrollment ID: I20161006002249 |
| Provider Name | Jose L Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497203897 PECOS PAC ID: 9537448493 Enrollment ID: I20161116001895 |
| Provider Name | Nadine Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164459624 PECOS PAC ID: 5395721385 Enrollment ID: I20161118002314 |
| Provider Name | Todd A Holland Falcone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780137562 PECOS PAC ID: 9931488400 Enrollment ID: I20161128001996 |
| Provider Name | Hector Mauricio Suncin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386924181 PECOS PAC ID: 8426339524 Enrollment ID: I20170104000872 |
| Provider Name | Scott F Leibowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821203209 PECOS PAC ID: 0042378523 Enrollment ID: I20170110002384 |
| Provider Name | Eileen P Ryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609945245 PECOS PAC ID: 5991713869 Enrollment ID: I20170118002232 |
| Provider Name | Kento Akasaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174933303 PECOS PAC ID: 1355560491 Enrollment ID: I20170206000751 |
| Provider Name | Cady K Block |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093268864 PECOS PAC ID: 1658654298 Enrollment ID: I20170206002554 |
| Provider Name | Luke B Misquitta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710220124 PECOS PAC ID: 4688996952 Enrollment ID: I20170606001970 |
| Provider Name | Joseph D Zollo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528025863 PECOS PAC ID: 1557339694 Enrollment ID: I20170608001409 |
| Provider Name | Rita M Aouad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164777926 PECOS PAC ID: 9133369200 Enrollment ID: I20170622001071 |
| Provider Name | Charles J Glawe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407030455 PECOS PAC ID: 6709156318 Enrollment ID: I20170713003641 |
| Provider Name | Alfredo A Massa Succar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639362361 PECOS PAC ID: 8123398955 Enrollment ID: I20170726003222 |
| Provider Name | Emily Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083134464 PECOS PAC ID: 7214208800 Enrollment ID: I20170731002758 |
| Provider Name | Sophie A Lazarus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346776937 PECOS PAC ID: 7012288236 Enrollment ID: I20170807002658 |
| Provider Name | Geeta S Ilipilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326395633 PECOS PAC ID: 0143530881 Enrollment ID: I20170808004028 |
| Provider Name | Emily Bucher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740666577 PECOS PAC ID: 6507137577 Enrollment ID: I20170809002783 |
| Provider Name | Jessica M Short |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851634562 PECOS PAC ID: 2466774526 Enrollment ID: I20170920001788 |
| Provider Name | Tonya Schmauder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043729114 PECOS PAC ID: 3072879931 Enrollment ID: I20171108002710 |
| Provider Name | Christina Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205389814 PECOS PAC ID: 1850654716 Enrollment ID: I20180406001586 |
| Provider Name | Caroline O Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174672380 PECOS PAC ID: 4587766274 Enrollment ID: I20180410001295 |
| Provider Name | Marie A Neff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477057628 PECOS PAC ID: 1153684758 Enrollment ID: I20180412002340 |
| Provider Name | Danielle B Trimner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053815936 PECOS PAC ID: 6305109638 Enrollment ID: I20180418002315 |
| Provider Name | Lisa Christian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235636697 PECOS PAC ID: 2961758412 Enrollment ID: I20180713000585 |
| Provider Name | Kevin N Johns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619310364 PECOS PAC ID: 6800118969 Enrollment ID: I20180820002613 |
| Provider Name | Anita Kumar Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144563461 PECOS PAC ID: 1355642927 Enrollment ID: I20180914001066 |
| Provider Name | Jocelyn A Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285938092 PECOS PAC ID: 8729391867 Enrollment ID: I20180924003431 |
| Provider Name | Nicole Ann Hollingshead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114411733 PECOS PAC ID: 2961753371 Enrollment ID: I20180925000968 |
| Provider Name | Patrick James Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609370287 PECOS PAC ID: 3375894496 Enrollment ID: I20180927003376 |
| Provider Name | Meredith R Chapman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043437858 PECOS PAC ID: 3274664552 Enrollment ID: I20181001003302 |
| Provider Name | Kristy L. Engel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841573474 PECOS PAC ID: 8628322633 Enrollment ID: I20181109002190 |
| Provider Name | Christopher Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770009052 PECOS PAC ID: 6507100864 Enrollment ID: I20181128000626 |
| Provider Name | Aaron E. Thomas Breedlove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518052729 PECOS PAC ID: 1759627391 Enrollment ID: I20190117003677 |
| Provider Name | Acacia G Quaintance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578030979 PECOS PAC ID: 0547502858 Enrollment ID: I20190506002388 |
| Provider Name | Barbara A. Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700340999 PECOS PAC ID: 9931442217 Enrollment ID: I20190530001730 |
| Provider Name | Shina Cauthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417415753 PECOS PAC ID: 2264767839 Enrollment ID: I20190718002379 |
| Provider Name | Anand Satiani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891173993 PECOS PAC ID: 2769792696 Enrollment ID: I20190725003052 |
| Provider Name | Hillary A Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578040564 PECOS PAC ID: 9133456684 Enrollment ID: I20190807001259 |
| Provider Name | Kinh Luan Dinh Phan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548389109 PECOS PAC ID: 6608833231 Enrollment ID: I20190813001671 |
| Provider Name | Michael Vilensky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518510155 PECOS PAC ID: 2668703596 Enrollment ID: I20191008001494 |
| Provider Name | Ashleigh Anne Pona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124670401 PECOS PAC ID: 8325379027 Enrollment ID: I20191010002188 |
| Provider Name | John M Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740847946 PECOS PAC ID: 7416288998 Enrollment ID: I20191015000834 |
| Provider Name | Travis Westbrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194386912 PECOS PAC ID: 3678906930 Enrollment ID: I20191127002363 |
| Provider Name | Maura Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20200124002237 |
| Provider Name | Eric M Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538711023 PECOS PAC ID: 4688001761 Enrollment ID: I20200302001900 |
| Provider Name | Gomathie Chelvayohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508181637 PECOS PAC ID: 5890010664 Enrollment ID: I20200327001662 |
| Provider Name | William A Jansak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124653514 PECOS PAC ID: 4284056854 Enrollment ID: I20200629000460 |
| Provider Name | Sarah Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891180832 PECOS PAC ID: 9537479464 Enrollment ID: I20200630002893 |
| Provider Name | Abigail M Huff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497119747 PECOS PAC ID: 7517254964 Enrollment ID: I20200716004106 |
| Provider Name | Ashley Crum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023475472 PECOS PAC ID: 3476978297 Enrollment ID: I20200810003309 |
| Provider Name | Daniel J Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821415753 PECOS PAC ID: 5597065540 Enrollment ID: I20200825001316 |
| Provider Name | Samantha Dedios Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871928671 PECOS PAC ID: 4082031729 Enrollment ID: I20200826003610 |
| Provider Name | Olivia Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457979635 PECOS PAC ID: 3375962277 Enrollment ID: I20200925001678 |
| Provider Name | Heather M Wastler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801404652 PECOS PAC ID: 6305265042 Enrollment ID: I20200930001787 |
| Provider Name | Orman T. Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235526468 PECOS PAC ID: 8022321389 Enrollment ID: I20201022002156 |
| Provider Name | Eva Rani Panigrahi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225645864 PECOS PAC ID: 6800206624 Enrollment ID: I20201106001498 |
| Provider Name | Catherine M Baughman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508462599 PECOS PAC ID: 7214341262 Enrollment ID: I20210202002781 |
| Provider Name | Emil Frank Coccaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396863627 PECOS PAC ID: 6608891478 Enrollment ID: I20210219001506 |
| Provider Name | Madhvi V Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942576939 PECOS PAC ID: 8224322243 Enrollment ID: I20210301000755 |
| Provider Name | Joshua L. Norman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538516802 PECOS PAC ID: 7214224658 Enrollment ID: I20210707003693 |
| Provider Name | Laura A Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154856565 PECOS PAC ID: 7214339571 Enrollment ID: I20210708001930 |
| Provider Name | Lauren A. Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326571464 PECOS PAC ID: 0648672931 Enrollment ID: I20210708002821 |
| Provider Name | Michael Allen Stauber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861925943 PECOS PAC ID: 5294000931 Enrollment ID: I20210818001910 |
| Provider Name | Ashley M Byrd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649703034 PECOS PAC ID: 9032484472 Enrollment ID: I20210902003029 |
| Provider Name | Cynthia A. Fontanella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013123462 PECOS PAC ID: 0749687911 Enrollment ID: I20210930002514 |
| Provider Name | Kristina Thurin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962883405 PECOS PAC ID: 2567765381 Enrollment ID: I20211006002730 |
| Provider Name | Anna Rosselet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205403714 PECOS PAC ID: 8628476579 Enrollment ID: I20211007002544 |
| Provider Name | Samantha Marie Stehlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023687027 PECOS PAC ID: 5799183513 Enrollment ID: I20211008002030 |
| Provider Name | Nadia Neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487034237 PECOS PAC ID: 1052719887 Enrollment ID: I20211008002113 |
| Provider Name | Dannel Petgrave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457892705 PECOS PAC ID: 0840624425 Enrollment ID: I20211013002780 |
| Provider Name | Ashleigh Renee Arrowood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477228195 PECOS PAC ID: 6305235607 Enrollment ID: I20211108000805 |
| Provider Name | Brandon Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811567720 PECOS PAC ID: 8123418092 Enrollment ID: I20211208001597 |
| Provider Name | Britney M. Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225672538 PECOS PAC ID: 1850781618 Enrollment ID: I20211209002085 |
| Provider Name | Taryn M. Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144851635 PECOS PAC ID: 8325439649 Enrollment ID: I20211221002734 |
| Provider Name | Erica R Holbrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265963540 PECOS PAC ID: 0547651325 Enrollment ID: I20220105002168 |
| Provider Name | Cinthia Benitez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801324322 PECOS PAC ID: 2466843123 Enrollment ID: I20220106002869 |
| Provider Name | Lindsay Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548491186 PECOS PAC ID: 3072907963 Enrollment ID: I20220217002274 |
| Provider Name | David M Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285305011 PECOS PAC ID: 1456745298 Enrollment ID: I20220222000595 |
| Provider Name | Lillia Bash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043977366 PECOS PAC ID: 9032503172 Enrollment ID: I20220307000485 |
| Provider Name | Natalie Kells Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083109367 PECOS PAC ID: 9032504790 Enrollment ID: I20220315002026 |
| Provider Name | Anne Cathryn Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043862493 PECOS PAC ID: 4587042437 Enrollment ID: I20220604000272 |
| Provider Name | Laura Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396278966 PECOS PAC ID: 2062890742 Enrollment ID: I20220608002695 |
| Provider Name | Amanda Kostyak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306592423 PECOS PAC ID: 4587043898 Enrollment ID: I20220616001677 |
| Provider Name | Kayla Hammel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043802218 PECOS PAC ID: 4082095328 Enrollment ID: I20220719001037 |
| Provider Name | Grace Hunter Hertel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770061525 PECOS PAC ID: 1052792116 Enrollment ID: I20220720002427 |
| Provider Name | Sydney Marie Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306341763 PECOS PAC ID: 5597147611 Enrollment ID: I20220804003678 |
| Provider Name | Zachary Aaron Kelm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801391578 PECOS PAC ID: 3779833520 Enrollment ID: I20220818003410 |
| Provider Name | Ashley Subler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861925851 PECOS PAC ID: 6103197835 Enrollment ID: I20220907003876 |
| Provider Name | Sukhreet K Ghuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194212316 PECOS PAC ID: 2860748191 Enrollment ID: I20220908003689 |
| Provider Name | Stephanie Mcgarity |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265820286 PECOS PAC ID: 5597187476 Enrollment ID: I20220912001208 |
| Provider Name | Nicole Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003442450 PECOS PAC ID: 1759766033 Enrollment ID: I20220922002737 |
| Provider Name | Jaryd Hiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568197937 PECOS PAC ID: 6608251996 Enrollment ID: I20220922003067 |
| Provider Name | Elizabeth Patchen Youse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821734153 PECOS PAC ID: 7810372117 Enrollment ID: I20220922003737 |
| Provider Name | Christi Trask |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396080420 PECOS PAC ID: 2466828629 Enrollment ID: I20221013001940 |
| Provider Name | Brianna Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447986765 PECOS PAC ID: 5496121576 Enrollment ID: I20221013003301 |
| Provider Name | Katherine Waugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699035766 PECOS PAC ID: 1355717448 Enrollment ID: I20221013003575 |
| Provider Name | Meera Menon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073868774 PECOS PAC ID: 0244468676 Enrollment ID: I20221017001431 |
| Provider Name | Michelle H Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295215267 PECOS PAC ID: 9335518711 Enrollment ID: I20221206002873 |
| Provider Name | Jay Fournier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053715854 PECOS PAC ID: 0143542050 Enrollment ID: I20221213001334 |
| Provider Name | Callie Orme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689394553 PECOS PAC ID: 6608245691 Enrollment ID: I20221214001480 |
| Provider Name | Justin C Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003137688 PECOS PAC ID: 3870965213 Enrollment ID: I20230210000865 |
| Provider Name | Craig J Bryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992883490 PECOS PAC ID: 6608248752 Enrollment ID: I20230217002416 |
| Provider Name | Ashley Arens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962813444 PECOS PAC ID: 6901133313 Enrollment ID: I20230405002845 |
| Provider Name | Anthony P King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568890895 PECOS PAC ID: 6608134549 Enrollment ID: I20230601000269 |
| Provider Name | Hoda Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952834806 PECOS PAC ID: 0446520084 Enrollment ID: I20230814001041 |
| Provider Name | Brittany Nicole Silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972287225 PECOS PAC ID: 4789046335 Enrollment ID: I20230814001419 |
| Provider Name | Evita Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518462845 PECOS PAC ID: 0244574077 Enrollment ID: I20230814002335 |
| Provider Name | Lora L. Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053741074 PECOS PAC ID: 6800130618 Enrollment ID: I20230815003199 |
| Provider Name | Natalie Ann Klag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033614573 PECOS PAC ID: 8527318328 Enrollment ID: I20230828000809 |
| Provider Name | Leslie Pillow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649769316 PECOS PAC ID: 3870837917 Enrollment ID: I20230913000144 |
| Provider Name | Austen Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629639950 PECOS PAC ID: 8426384348 Enrollment ID: I20230922001975 |
| Provider Name | Majeda A Humeidan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467118943 PECOS PAC ID: 0446605893 Enrollment ID: I20231005000365 |
| Provider Name | Joanna Hornbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144718107 PECOS PAC ID: 2567817554 Enrollment ID: I20231011001677 |
| Provider Name | Duncan Gage Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104509835 PECOS PAC ID: 3274980529 Enrollment ID: I20231108003483 |
| Provider Name | Emily L Cary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659158897 PECOS PAC ID: 5597113647 Enrollment ID: I20231129003149 |
| Provider Name | Cassandra Lynn Hovanec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518747005 PECOS PAC ID: 1759739634 Enrollment ID: I20231204000864 |
| Provider Name | Melanie Lauren Bozzay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477280956 PECOS PAC ID: 2668822248 Enrollment ID: I20231221003903 |
| Provider Name | Claire M. Postl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710300892 PECOS PAC ID: 4385095199 Enrollment ID: I20240105001975 |
| Provider Name | Mary Beth Riazzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124440433 PECOS PAC ID: 6901257716 Enrollment ID: I20240105002098 |
| Provider Name | Christy Elaine Walters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316384654 PECOS PAC ID: 3870945280 Enrollment ID: I20240122003515 |
| Provider Name | Nathan Andrew Gelinas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710763727 PECOS PAC ID: 1951753227 Enrollment ID: I20240123001058 |
| Provider Name | Christina Rose Bauder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609358878 PECOS PAC ID: 6305298514 Enrollment ID: I20240123002902 |
| Provider Name | Robert Christopher Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194218883 PECOS PAC ID: 7517310550 Enrollment ID: I20240126000458 |
| Provider Name | Demi Kathryn Michell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215701271 PECOS PAC ID: 5294179669 Enrollment ID: I20240214001488 |
| Provider Name | Julia Clair Huston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851944516 PECOS PAC ID: 5991140428 Enrollment ID: I20240223003166 |
| Provider Name | Nina Kraguljac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033353446 PECOS PAC ID: 9931345741 Enrollment ID: I20240329002244 |
| Provider Name | David Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548852304 PECOS PAC ID: 9436540580 Enrollment ID: I20240404000957 |
| Provider Name | Anastasia Britt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811595879 PECOS PAC ID: 4082055454 Enrollment ID: I20240516000883 |
| Provider Name | Tamara Marie Hempfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295343325 PECOS PAC ID: 9739520065 Enrollment ID: I20240516003273 |
| Provider Name | Scott A Langenecker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316019839 PECOS PAC ID: 2264331875 Enrollment ID: I20240517003249 |
| Provider Name | Nancy Brown Lundin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619735958 PECOS PAC ID: 1759823545 Enrollment ID: I20240607002329 |
Psychiatry Providers At East Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5965 E Broad St, Suite 370, Columbus, OH 43213 Phone: 614-866-5555 | |
Applied Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Snouffer Rd, Columbus, OH 43235 Phone: 614-984-3740 | |
Next Step Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6161 Busch Blvd Ste 290, Columbus, OH 43229 Phone: 614-987-5003 Fax: 614-987-5167 | |
Gracehaven Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Arlington Centre Blvd # 9b, Columbus, OH 43220 Phone: 614-665-0665 | |
Beyond The Storm Counseling And Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3493 Bigby Hollow Ct, Columbus, OH 43228 Phone: 614-975-7899 | |
Gerlach, Lear & Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Chatham Ln, Suite 103, Columbus, OH 43221 Phone: 614-451-9401 Fax: 614-451-8113 | |
Steven S. Schwartz, Ph.d. & Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7650 Rivers Edge Dr, Suite 140, Columbus, OH 43235 Phone: 614-841-1101 Fax: 614-841-1957 |