| Pinnacle Center For Mental Health & Human Relations Llc | |
|
603 Post Office Rd Suite 210 Waldorf MD 20602-1914 | |
| (301) 705-7593 | |
| Not Available |
| Full Name | Pinnacle Center For Mental Health & Human Relations Llc |
|---|---|
| Speciality | Counselor |
| Location | 603 Post Office Rd, Waldorf, Maryland |
| Authorized Official Name and Position | Charles L Ruby (GENERAL MANAGER) |
| Authorized Official Contact | 3017057593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Center For Mental Health & Human Relations Llc 603 Post Office Rd Suite 210 Waldorf MD 20602-1914 Ph: () - | Pinnacle Center For Mental Health & Human Relations Llc 603 Post Office Rd Suite 210 Waldorf MD 20602-1914 Ph: (301) 705-7593 |
| NPI Number | 1760439830 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 03/09/2011 |
| Medicare PECOS PAC ID | 9335319888 |
|---|---|
| Medicare Enrollment ID | O20110819000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760439830 | NPI | - | NPPES |
| 194401100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | David N Hiland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811093651 PECOS PAC ID: 5496714396 Enrollment ID: I20041006001092 |
| Provider Name | Charles L Ruby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649310715 PECOS PAC ID: 0244400794 Enrollment ID: I20120103000043 |
| Provider Name | Stephen R Herskovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578603684 PECOS PAC ID: 4880864339 Enrollment ID: I20120214000517 |
| Provider Name | Julia Terese Ruckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356599971 PECOS PAC ID: 3779644786 Enrollment ID: I20180109002667 |
| Provider Name | Shawn L Muth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164973608 PECOS PAC ID: 7618218918 Enrollment ID: I20190416000007 |
| Provider Name | Erik Douglas Mann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609439785 PECOS PAC ID: 8224371794 Enrollment ID: I20190524001019 |
| Provider Name | Amy Brinkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801597414 PECOS PAC ID: 6103279641 Enrollment ID: I20240131002668 |
| Provider Name | Tara Mcmanaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548635022 PECOS PAC ID: 8628411923 Enrollment ID: I20240202002736 |
| Provider Name | Sandra Navarra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952441016 PECOS PAC ID: 6305280884 Enrollment ID: I20240223001185 |
| Provider Name | Dominique Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043942931 PECOS PAC ID: 4587000393 Enrollment ID: I20240314001535 |
| Provider Name | Lysa Kirby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053787416 PECOS PAC ID: 2567808371 Enrollment ID: I20240314001582 |
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