| Psychiatric Services P C | |
|
800 Broadway Ste 208 Fort Wayne IN 46802-2149 | |
| (260) 425-3204 | |
| (260) 425-3206 |
| Full Name | Psychiatric Services P C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 800 Broadway, Fort Wayne, Indiana |
| Authorized Official Name and Position | Mahender Reddy Surakanti (M.D.) |
| Authorized Official Contact | 2604253204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services P C Po Box 40139 Fort Wayne IN 46804-0139 Ph: (260) 425-3204 | Psychiatric Services P C 800 Broadway Ste 208 Fort Wayne IN 46802-2149 Ph: (260) 425-3204 |
| NPI Number | 1194913228 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 02/05/2010 |
| Medicare PECOS PAC ID | 8628124567 |
|---|---|
| Medicare Enrollment ID | O20090918000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194913228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01057700A (Indiana) | Primary |
| Provider Name | Mahender R Surakanti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417940909 PECOS PAC ID: 7911981030 Enrollment ID: I20040616000686 |
| Provider Name | Mary Ann La Rocque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851309876 PECOS PAC ID: 4880661982 Enrollment ID: I20040916000442 |
Prometheus Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10214 Chestnut Plaza Dr, Suite 130, Fort Wayne, IN 46814 Phone: 260-409-8188 | |
Christina Stapleton, L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10315 Dawsons Creek Blvd # 12, Fort Wayne, IN 46825 Phone: 260-387-6340 | |
Oaktree Guidance & Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 Phone: 260-570-4515 Fax: 260-209-0762 | |
Courageous Healing Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2013 S Anthony Blvd, Fort Wayne, IN 46803 Phone: 260-417-4801 | |
Raj Clinics Professional Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Airport North Office Park, Fort Wayne, IN 46825 Phone: 574-732-1166 Fax: 574-753-4117 | |
Sharon Mowrer Counseling And Consulting Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Magnavox Way, Suite 120, Fort Wayne, IN 46804 Phone: 260-760-8645 | |
A.w. Holdings, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Hursh Rd, Fort Wayne, IN 46845 Phone: 260-637-3608 |