| Pennsylvania Comprehensive Behavioral Health Services, Llc | |
|
2555 Cape Horn Rd Red Lion PA 17356-9057 | |
| (717) 600-0900 | |
| (717) 600-0910 |
| Full Name | Pennsylvania Comprehensive Behavioral Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2555 Cape Horn Rd, Red Lion, Pennsylvania |
| Authorized Official Name and Position | Heather Maletz (VICE PRESIDENT) |
| Authorized Official Contact | 7176000900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Comprehensive Behavioral Health Services, Llc 2555 Cape Horn Rd Red Lion PA 17356-9057 Ph: (717) 600-0900 | Pennsylvania Comprehensive Behavioral Health Services, Llc 2555 Cape Horn Rd Red Lion PA 17356-9057 Ph: (717) 600-0900 |
| NPI Number | 1114980489 |
|---|---|
| Provider Enumeration Date | 04/08/2006 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 8022172980 |
|---|---|
| Medicare Enrollment ID | O20090122000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114980489 | NPI | - | NPPES |
| 1579417 | Other | PA | HIGHMARK BS |
| 50035025 | Other | PA | CAPITAL BLUE CROSS |
| 1579416 | Other | PA | HIGHMARK BS |
| 1007511540006 | Medicaid | PA |
| Provider Name | Raghavendra Srinivasa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023070463 PECOS PAC ID: 7214824630 Enrollment ID: I20040301001200 |
| Provider Name | Beth A Lawhead |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811121346 PECOS PAC ID: 9032259882 Enrollment ID: I20091229000605 |
| Provider Name | Robert Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730346164 PECOS PAC ID: 7315188976 Enrollment ID: I20170113001211 |
| Provider Name | Stephanie Binter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902805047 PECOS PAC ID: 3476872573 Enrollment ID: I20170620000608 |
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