| Psychological Consultants And Affiliates, Inc. | |
|
60 Messimer Dr Newark OH 43055-3692 | |
| (740) 522-2230 | |
| (740) 522-6230 |
| Full Name | Psychological Consultants And Affiliates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 60 Messimer Dr, Newark, Ohio |
| Authorized Official Name and Position | William R Gorga (PRESIDENT) |
| Authorized Official Contact | 7405222230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consultants And Affiliates, Inc. 60 Messimer Dr Newark OH 43055-3692 Ph: (740) 522-2230 | Psychological Consultants And Affiliates, Inc. 60 Messimer Dr Newark OH 43055-3692 Ph: (740) 522-2230 |
| NPI Number | 1639232192 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739112012 |
|---|---|
| Medicare Enrollment ID | O20050916000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639232192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | William Mcfarren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841288081 PECOS PAC ID: 0648203927 Enrollment ID: I20111208000568 |
| Provider Name | Cecil M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063400067 PECOS PAC ID: 3173781473 Enrollment ID: I20120215000780 |
| Provider Name | Carla Rae Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952692725 PECOS PAC ID: 6103074885 Enrollment ID: I20120921000508 |
| Provider Name | Marilyn K Inceoglu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427363472 PECOS PAC ID: 6507018850 Enrollment ID: I20121212000495 |
| Provider Name | Katherine E Wirth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376849844 PECOS PAC ID: 0648592261 Enrollment ID: I20141209001693 |
| Provider Name | Carol Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932501566 PECOS PAC ID: 8527358340 Enrollment ID: I20160607002582 |
| Provider Name | Stephanie J Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093239097 PECOS PAC ID: 9133530371 Enrollment ID: I20201119002069 |
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