| Psych Foundations, Llc | |
|
273 Main St Ste 300 Wadsworth OH 44281-1494 | |
| (330) 227-4518 | |
| Not Available |
| Full Name | Psych Foundations, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 273 Main St Ste 300, Wadsworth, Ohio |
| Authorized Official Name and Position | Aricka Kesic-sellers (OWNER) |
| Authorized Official Contact | 3302240184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Foundations, Llc 273 Main St Ste 300 Wadsworth OH 44281-1494 Ph: (330) 227-4518 | Psych Foundations, Llc 273 Main St Ste 300 Wadsworth OH 44281-1494 Ph: (330) 227-4518 |
| NPI Number | 1871165498 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 5597161026 |
|---|---|
| Medicare Enrollment ID | O20210909001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871165498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Aricka A Kesic-sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518395466 PECOS PAC ID: 1658504634 Enrollment ID: I20140428000828 |
| Provider Name | Brankica M Podravac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414410 PECOS PAC ID: 7517261217 Enrollment ID: I20160201000362 |
| Provider Name | Melissa J Gelsomino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487264313 PECOS PAC ID: 6406255710 Enrollment ID: I20210518002638 |
| Provider Name | Carrie A Sellers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326203928 PECOS PAC ID: 8224401930 Enrollment ID: I20230228002043 |
| Provider Name | Jaymi Renee Doerfler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962184697 PECOS PAC ID: 5890140503 Enrollment ID: I20231016003264 |
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