| Charak Center Fro Health And Wellness | |
|
801 E Washington St Suite 150 Medina OH 44256-3335 | |
| (330) 722-1069 | |
| (330) 764-9712 |
| Full Name | Charak Center Fro Health And Wellness |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 801 E Washington St, Medina, Ohio |
| Authorized Official Name and Position | Christine A Kelly (CREDENTIALING) |
| Authorized Official Contact | 1625876727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charak Center Fro Health And Wellness 12395 Mccracken Rd Ste H Cleveland OH 44125-2946 Ph: (216) 587-6727 | Charak Center Fro Health And Wellness 801 E Washington St Suite 150 Medina OH 44256-3335 Ph: (330) 722-1069 |
| NPI Number | 1033143722 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 6507895067 |
|---|---|
| Medicare Enrollment ID | O20050805000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033143722 | NPI | - | NPPES |
| 2911648 | Medicaid | OH | |
| 2033454 | Medicaid | OH | |
| 2910774 | Medicaid | OH |
| Provider Name | Gregory P Knapik |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316938509 PECOS PAC ID: 0648251041 Enrollment ID: I20040601000000 |
| Provider Name | Chander Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912943267 PECOS PAC ID: 0345211835 Enrollment ID: I20040805001632 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194754796 PECOS PAC ID: 0042273781 Enrollment ID: I20041104000587 |
| Provider Name | Parvathi Nanjundiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093833352 PECOS PAC ID: 3072570308 Enrollment ID: I20041217000401 |
| Provider Name | Rakesh Ranjan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073549606 PECOS PAC ID: 7315976875 Enrollment ID: I20051101000086 |
| Provider Name | Byung H Jinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548226103 PECOS PAC ID: 0840209680 Enrollment ID: I20060406000241 |
| Provider Name | Stuart Zetzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275583114 PECOS PAC ID: 1759393432 Enrollment ID: I20060621000012 |
| Provider Name | Robert J Brauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063401412 PECOS PAC ID: 1052317096 Enrollment ID: I20061013000319 |
| Provider Name | Michelle L Lanzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023170677 PECOS PAC ID: 8022110238 Enrollment ID: I20070219000424 |
| Provider Name | Vinod Bhandari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265581672 PECOS PAC ID: 1850484825 Enrollment ID: I20070906000806 |
| Provider Name | Carla M Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306047022 PECOS PAC ID: 3870660624 Enrollment ID: I20080922000198 |
| Provider Name | Jaclyn A Lanham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609178755 PECOS PAC ID: 0042408874 Enrollment ID: I20101221000706 |
| Provider Name | Maximo Lockward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114026721 PECOS PAC ID: 2365341385 Enrollment ID: I20111122000533 |
| Provider Name | Douglas E Waltman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285850180 PECOS PAC ID: 2163682584 Enrollment ID: I20120322000180 |
| Provider Name | Aditi M Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154597839 PECOS PAC ID: 2860655339 Enrollment ID: I20120521000046 |
| Provider Name | Julie M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477803419 PECOS PAC ID: 1557512266 Enrollment ID: I20121106000188 |
| Provider Name | Matthew V Paris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689938540 PECOS PAC ID: 8628221389 Enrollment ID: I20130104000270 |
| Provider Name | Marie N Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298280 PECOS PAC ID: 7719118561 Enrollment ID: I20140523000418 |
| Provider Name | Felicia Fior-nossek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598796302 PECOS PAC ID: 4789608134 Enrollment ID: I20150911002391 |
| Provider Name | Laura Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174995054 PECOS PAC ID: 6709188568 Enrollment ID: I20160111001881 |
| Provider Name | Sheila Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700261096 PECOS PAC ID: 1254628894 Enrollment ID: I20160923002338 |
| Provider Name | Angalesia Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376953489 PECOS PAC ID: 8729369327 Enrollment ID: I20161219001616 |
| Provider Name | Ranada Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932560166 PECOS PAC ID: 5294016820 Enrollment ID: I20161219002870 |
| Provider Name | Anna Popova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699031708 PECOS PAC ID: 0446533855 Enrollment ID: I20170209001271 |
| Provider Name | Nicole D Nickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609082486 PECOS PAC ID: 0446537484 Enrollment ID: I20170501001418 |
| Provider Name | Lakeisha Sherille Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669508834 PECOS PAC ID: 4688941610 Enrollment ID: I20170526001333 |
| Provider Name | Candice Sanborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730502568 PECOS PAC ID: 4880966449 Enrollment ID: I20170817001411 |
| Provider Name | Isaac O Bofah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316427172 PECOS PAC ID: 9032460225 Enrollment ID: I20180927001268 |
| Provider Name | Mafon Fomujang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013442102 PECOS PAC ID: 8224382304 Enrollment ID: I20181107002813 |
| Provider Name | Nicole D Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982855714 PECOS PAC ID: 3779828975 Enrollment ID: I20181217001193 |
| Provider Name | Sandeep M Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720282601 PECOS PAC ID: 7214277938 Enrollment ID: I20190315001833 |
| Provider Name | Susan K Shefner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902381072 PECOS PAC ID: 9537409172 Enrollment ID: I20190319001722 |
| Provider Name | Abdelrahman Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871960930 PECOS PAC ID: 9931453032 Enrollment ID: I20190531002068 |
| Provider Name | Kara Lynn Forte-sullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180129 PECOS PAC ID: 1951632587 Enrollment ID: I20191014001617 |
| Provider Name | Jacalyn M Laeng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134640170 PECOS PAC ID: 5496180648 Enrollment ID: I20200115002349 |
| Provider Name | Ikechukwu Emmanuel Anaje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407482722 PECOS PAC ID: 1951723014 Enrollment ID: I20200617002884 |
| Provider Name | Kayla Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770083818 PECOS PAC ID: 8729405816 Enrollment ID: I20200903002527 |
| Provider Name | Sheila M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487250916 PECOS PAC ID: 6800209578 Enrollment ID: I20210120000244 |
| Provider Name | Charlotte A Steerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366048506 PECOS PAC ID: 1052725215 Enrollment ID: I20210128002984 |
| Provider Name | Michael H Anikeev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851582886 PECOS PAC ID: 6901970011 Enrollment ID: I20210212001557 |
| Provider Name | Lisa M Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386940724 PECOS PAC ID: 3173765898 Enrollment ID: I20210309001987 |
| Provider Name | Kimberly T Cromer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063030765 PECOS PAC ID: 2264848589 Enrollment ID: I20210311002501 |
| Provider Name | Deborah S Swinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396305090 PECOS PAC ID: 9931518792 Enrollment ID: I20210506002001 |
| Provider Name | Jacqueline Marie Veler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962751958 PECOS PAC ID: 8628476199 Enrollment ID: I20211013003324 |
| Provider Name | Leighann R Karrip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801464458 PECOS PAC ID: 0042600744 Enrollment ID: I20211213001965 |
| Provider Name | Hakim Nuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457026395 PECOS PAC ID: 8426440454 Enrollment ID: I20220124002426 |
| Provider Name | Chavon N Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346841350 PECOS PAC ID: 5698167435 Enrollment ID: I20220127002891 |
| Provider Name | Kulling N Abi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104237684 PECOS PAC ID: 2860885969 Enrollment ID: I20220214001851 |
| Provider Name | Dawn M Whitehair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760137665 PECOS PAC ID: 1658768353 Enrollment ID: I20220427002837 |
| Provider Name | Stephen Okolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740918697 PECOS PAC ID: 2163806324 Enrollment ID: I20220907002417 |
| Provider Name | Rachel Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629795158 PECOS PAC ID: 5496123010 Enrollment ID: I20221201001486 |
| Provider Name | Lavita L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801535687 PECOS PAC ID: 3274907159 Enrollment ID: I20230327000242 |
| Provider Name | Navjyot K Binning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649962853 PECOS PAC ID: 0143680991 Enrollment ID: I20230712002774 |
| Provider Name | Maddison Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952009466 PECOS PAC ID: 6002261401 Enrollment ID: I20231004002521 |
| Provider Name | Stephen J Roos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356546576 PECOS PAC ID: 8820431547 Enrollment ID: I20240209002512 |
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Recoup Plus Relief Counseling & Therapeutic Services Comma Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 803 E Washington St Ste 200, Medina, OH 44256 Phone: 330-636-5000 | |
Summa Physicians Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Medina Rd Ste 220, Medina, OH 44256 Phone: 330-721-7604 Fax: 330-721-7606 | |
Forever Amber Acres Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 Granger Rd, Medina, OH 44256 Phone: 330-618-6010 | |
Evolution Counseling And Yoga Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 799 N Court St Ste 11, Medina, OH 44256 Phone: 419-575-1978 Fax: 419-710-6334 |