| Psychiatry Networks Inc | |
|
5158 Broadway Ave Cleveland OH 44127 | |
| (216) 341-0070 | |
| (216) 341-0099 |
| Full Name | Psychiatry Networks Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5158 Broadway Ave, Cleveland, Ohio |
| Authorized Official Name and Position | David J Lopez (PRESIDENT) |
| Authorized Official Contact | 7014786700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Networks Inc 5158 Broadway Ave Cleveland OH 44127-1592 Ph: (216) 341-0070 | Psychiatry Networks Inc 5158 Broadway Ave Cleveland OH 44127 Ph: (216) 341-0070 |
| NPI Number | 1992045108 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 0244466449 |
|---|---|
| Medicare Enrollment ID | O20131118001024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992045108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10292 (North Dakota) | Primary |
| Provider Name | David Javier Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275629719 PECOS PAC ID: 0648241232 Enrollment ID: I20071009000104 |
| Provider Name | Brittany L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831678036 PECOS PAC ID: 4880952589 Enrollment ID: I20181031003321 |
| Provider Name | Callie A Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295350114 PECOS PAC ID: 9133535511 Enrollment ID: I20210325002600 |
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