| Pinnacle Behavioral Health, Llc | |
|
5847 Sw 29th St Topeka KS 66614-2462 | |
| (785) 273-7292 | |
| (785) 273-1201 |
| Full Name | Pinnacle Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5847 Sw 29th St, Topeka, Kansas |
| Authorized Official Name and Position | Roy Wilson (OWNER) |
| Authorized Official Contact | 7852737292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Behavioral Health, Llc 5847 Sw 29th St Topeka KS 66614-2462 Ph: (785) 273-7292 | Pinnacle Behavioral Health, Llc 5847 Sw 29th St Topeka KS 66614-2462 Ph: (785) 273-7292 |
| NPI Number | 1558878751 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 2062831837 |
|---|---|
| Medicare Enrollment ID | O20200928001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558878751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 53-77013 (Kansas) | Primary |
| Provider Name | Roy P Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033309265 PECOS PAC ID: 9335459460 Enrollment ID: I20151102002202 |
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