| Psych Pointe Llc | |
|
113 Lincolnway E Mishawaka IN 46544-2016 | |
| (574) 314-5987 | |
| Not Available |
| Full Name | Psych Pointe Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 113 Lincolnway E, Mishawaka, Indiana |
| Authorized Official Name and Position | Amanda Rhoades (OWNER) |
| Authorized Official Contact | 5743145987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Pointe Llc 113 Lincolnway E Mishawaka IN 46544-2016 Ph: () - | Psych Pointe Llc 113 Lincolnway E Mishawaka IN 46544-2016 Ph: (574) 314-5987 |
| NPI Number | 1861087355 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 1557764016 |
|---|---|
| Medicare Enrollment ID | O20210722000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861087355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Darlene Stults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033181599 PECOS PAC ID: 4880628486 Enrollment ID: I20050922001140 |
| Provider Name | Cynthia Weyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487974507 PECOS PAC ID: 6608006101 Enrollment ID: I20140303000146 |
| Provider Name | Amanda L Rhoades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861670697 PECOS PAC ID: 4486808623 Enrollment ID: I20140806000761 |
| Provider Name | Iga T Aizigov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992155121 PECOS PAC ID: 5395028195 Enrollment ID: I20170201001228 |
| Provider Name | Joel W Kern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124491980 PECOS PAC ID: 8022379791 Enrollment ID: I20180221002239 |
| Provider Name | Heather R Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619475779 PECOS PAC ID: 7012270655 Enrollment ID: I20180413000959 |
| Provider Name | Shantelle M Burress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285124727 PECOS PAC ID: 7517222821 Enrollment ID: I20180606003333 |
| Provider Name | Talhia Y Juarez Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922668722 PECOS PAC ID: 7416282215 Enrollment ID: I20190716003786 |
| Provider Name | Yulia Abair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265085286 PECOS PAC ID: 2365773504 Enrollment ID: I20191018002033 |
| Provider Name | Deanna Margaret Rucano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174011316 PECOS PAC ID: 0042554321 Enrollment ID: I20200110001723 |
| Provider Name | Hellen Gathesha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417574013 PECOS PAC ID: 0648673178 Enrollment ID: I20210721003457 |
| Provider Name | Yolanda M Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295397206 PECOS PAC ID: 5890198329 Enrollment ID: I20210721003590 |
| Provider Name | Ekomobong Essien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457755787 PECOS PAC ID: 7113325564 Enrollment ID: I20211014003106 |
| Provider Name | Elizabeth Cobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861151896 PECOS PAC ID: 2567857550 Enrollment ID: I20220309001125 |
| Provider Name | Regina L. Rozenblit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235715186 PECOS PAC ID: 6901273994 Enrollment ID: I20221103002521 |
| Provider Name | Karen Bruening |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386243749 PECOS PAC ID: 1355787573 Enrollment ID: I20240311002471 |
| Provider Name | David K Kamande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447836739 PECOS PAC ID: 1153761994 Enrollment ID: I20240426003274 |
| Provider Name | Kristen M Barnes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619036985 PECOS PAC ID: 4688015373 Enrollment ID: I20240513001704 |
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