| Penn Highlands Dubois Behavioral Health Center | |
|
635 Maple Ave Du Bois PA 15801-2376 | |
| (814) 375-6379 | |
| (814) 375-9320 |
| Full Name | Penn Highlands Dubois Behavioral Health Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 635 Maple Ave, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Heather B Schneider (CFO) |
| Authorized Official Contact | 8143756432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Highlands Dubois Behavioral Health Center Po Box 447 Du Bois PA 15801-0447 Ph: (814) 375-6379 | Penn Highlands Dubois Behavioral Health Center 635 Maple Ave Du Bois PA 15801-2376 Ph: (814) 375-6379 |
| NPI Number | 1487848768 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Medicare PECOS PAC ID | 5890689715 |
|---|---|
| Medicare Enrollment ID | O20040304000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487848768 | NPI | - | NPPES |
| Provider Name | Peter Coffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174559439 PECOS PAC ID: 5597654244 Enrollment ID: I20040311001190 |
| Provider Name | James J Brem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710902069 PECOS PAC ID: 7416908876 Enrollment ID: I20050203000228 |
| Provider Name | Jeanne L Drayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245256759 PECOS PAC ID: 5496753949 Enrollment ID: I20061117000327 |
| Provider Name | Kevin Russell Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760684740 PECOS PAC ID: 1658465174 Enrollment ID: I20070914000252 |
| Provider Name | Jason Rock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346281367 PECOS PAC ID: 5294822524 Enrollment ID: I20071102000018 |
| Provider Name | Michael M Hall |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780688366 PECOS PAC ID: 0042392862 Enrollment ID: I20080131000410 |
| Provider Name | Scott R Turkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972531333 PECOS PAC ID: 0042335804 Enrollment ID: I20100916000730 |
| Provider Name | Edgar B Gantalao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649200411 PECOS PAC ID: 9638361355 Enrollment ID: I20101012001333 |
| Provider Name | Paul F Ignatius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558523571 PECOS PAC ID: 0648463877 Enrollment ID: I20101020001284 |
| Provider Name | Mark A Stoltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679598924 PECOS PAC ID: 1456547785 Enrollment ID: I20101129000141 |
| Provider Name | Matthew W Bridgman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851521850 PECOS PAC ID: 9234328667 Enrollment ID: I20110114000890 |
| Provider Name | Pamela A |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841655669 PECOS PAC ID: 1456655059 Enrollment ID: I20160202000675 |
| Provider Name | Benjamen C Gangewere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427444710 PECOS PAC ID: 0749568129 Enrollment ID: I20190826000147 |
| Provider Name | Priya Mahajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700227501 PECOS PAC ID: 2860622388 Enrollment ID: I20200108001217 |
| Provider Name | Allen B Dsouza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174907778 PECOS PAC ID: 8628312485 Enrollment ID: I20210223001139 |
| Provider Name | Kelley Rae Chilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598376709 PECOS PAC ID: 7719360452 Enrollment ID: I20220813000282 |
| Provider Name | Alexis M Danver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568131373 PECOS PAC ID: 0446633929 Enrollment ID: I20220816002000 |
| Provider Name | Melanie Jane Marzullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871259382 PECOS PAC ID: 9032592472 Enrollment ID: I20220817001332 |
| Provider Name | John Scott Schuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821292129 PECOS PAC ID: 8628451994 Enrollment ID: I20220818002903 |
| Provider Name | Ramez Wail A Altuwijri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730568361 PECOS PAC ID: 1456654532 Enrollment ID: I20220830000151 |
| Provider Name | Renee Y Curll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184996308 PECOS PAC ID: 3476928649 Enrollment ID: I20230401000046 |
| Provider Name | Constance O Boyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124291323 PECOS PAC ID: 1355716770 Enrollment ID: I20230417000683 |
| Provider Name | Emily Bly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699382234 PECOS PAC ID: 2860851037 Enrollment ID: I20230706001359 |
| Provider Name | Grace Rummel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285229815 PECOS PAC ID: 3678929320 Enrollment ID: I20231101000610 |
Breezewood Behavioral Health Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Beaver Dr, Ste 117d, Du Bois, PA 15801 Phone: 814-371-1340 Fax: 814-371-1864 | |
Clearfield Jefferson Cmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 724-465-5576 Fax: 724-465-6379 | |
Personal Habilitation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W Dubois Ave, Ste G, Du Bois, PA 15801 Phone: 814-375-7091 | |
Cooper's Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 S Brady St Ste 236, Du Bois, PA 15801 Phone: 814-661-5356 Fax: 814-690-1994 | |
Penn Highlands Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 123 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-2070 Fax: 814-375-2076 | |
Brookville Behavioral Health Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3 S Brady St Ste 205, Du Bois, PA 15801 Phone: 814-371-1088 Fax: 814-371-4966 | |
Breezewood Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Beaver Dr, Ste 117d, Du Bois, PA 15801 Phone: 814-371-1340 Fax: 814-371-1864 |