| Ravenwood Mental Health Center | |
|
12557 Ravenwood Dr Chardon OH 44024-9009 | |
| (440) 285-3568 | |
| (440) 285-4552 |
| Full Name | Ravenwood Mental Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12557 Ravenwood Dr, Chardon, Ohio |
| Authorized Official Name and Position | David Boyle (CEO) |
| Authorized Official Contact | 4402853568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravenwood Mental Health Center 12557 Ravenwood Dr Chardon OH 44024-9009 Ph: (440) 285-3568 | Ravenwood Mental Health Center 12557 Ravenwood Dr Chardon OH 44024-9009 Ph: (440) 285-3568 |
| NPI Number | 1730356296 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 6901813922 |
|---|---|
| Medicare Enrollment ID | O20060316000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730356296 | NPI | - | NPPES |
| 0576916 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0274 (Ohio) | Primary |
| Provider Name | Chander Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912943267 PECOS PAC ID: 0345211835 Enrollment ID: I20040805001632 |
| Provider Name | Gerard M Papp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114024791 PECOS PAC ID: 5698701803 Enrollment ID: I20050711000414 |
| Provider Name | Brittain M Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700951332 PECOS PAC ID: 4880692029 Enrollment ID: I20061121000754 |
| Provider Name | Audrey R Heinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548335102 PECOS PAC ID: 9335147578 Enrollment ID: I20061121000758 |
| Provider Name | Natalie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285793562 PECOS PAC ID: 3375542087 Enrollment ID: I20061206000514 |
| Provider Name | James Rodio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275614513 PECOS PAC ID: 9133212590 Enrollment ID: I20070830000828 |
| Provider Name | Susan A Gahr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659629574 PECOS PAC ID: 8426372632 Enrollment ID: I20150116001922 |
| Provider Name | Jennifer T Rosenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184872087 PECOS PAC ID: 2567752546 Enrollment ID: I20160602002434 |
| Provider Name | William A Rowane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932245214 PECOS PAC ID: 2163704487 Enrollment ID: I20170123000916 |
| Provider Name | Richard R Karges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801123310 PECOS PAC ID: 1658306717 Enrollment ID: I20180502002096 |
| Provider Name | Kevin L Trangle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366512642 PECOS PAC ID: 8022373646 Enrollment ID: I20180810000599 |
| Provider Name | Joel Stuart Steinberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356566848 PECOS PAC ID: 5496009920 Enrollment ID: I20181119002478 |
| Provider Name | Jessie Lenora Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013401173 PECOS PAC ID: 4981950961 Enrollment ID: I20190125002841 |
| Provider Name | Ayesha K Ashai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174866800 PECOS PAC ID: 4082912209 Enrollment ID: I20190327003266 |
| Provider Name | Courtney Szabo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841710019 PECOS PAC ID: 2668801127 Enrollment ID: I20200403001484 |
| Provider Name | Colleen Marie Wetherwax |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669820734 PECOS PAC ID: 7618398629 Enrollment ID: I20200529001892 |
| Provider Name | Elizabeth A Doran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295224947 PECOS PAC ID: 1254750011 Enrollment ID: I20200928001362 |
| Provider Name | Christina Redfern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740896273 PECOS PAC ID: 3971922139 Enrollment ID: I20201007003108 |
| Provider Name | Brianne C Alaburda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316141823 PECOS PAC ID: 4880867696 Enrollment ID: I20210405001725 |
| Provider Name | Mariah Janine Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598201659 PECOS PAC ID: 4880099969 Enrollment ID: I20210827001626 |
| Provider Name | Octavia Lynnette Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548874795 PECOS PAC ID: 9931505765 Enrollment ID: I20210902001640 |
| Provider Name | Nytisha Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427653575 PECOS PAC ID: 6406253087 Enrollment ID: I20210923003666 |
| Provider Name | Elizabeth Lauren Doolittle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558878132 PECOS PAC ID: 3678950268 Enrollment ID: I20220520000755 |
| Provider Name | Alexis Rae Staff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568113959 PECOS PAC ID: 8325424963 Enrollment ID: I20221004003779 |
| Provider Name | Valerie Alyson Lightner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346861945 PECOS PAC ID: 1557732138 Enrollment ID: I20230118001066 |
| Provider Name | Amanda Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144886706 PECOS PAC ID: 1153780119 Enrollment ID: I20230708000420 |
| Provider Name | Jacie Lynn Steinheiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780235762 PECOS PAC ID: 0143689067 Enrollment ID: I20230710002049 |
| Provider Name | Tanya Lynn Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376060467 PECOS PAC ID: 4789045147 Enrollment ID: I20230801003111 |
| Provider Name | Jessica Ann Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871011098 PECOS PAC ID: 3476917733 Enrollment ID: I20230919004072 |
| Provider Name | Amy Faith Gifford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194240366 PECOS PAC ID: 2163876020 Enrollment ID: I20230926002122 |
| Provider Name | Brian Matthew Ayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639220361 PECOS PAC ID: 0244680338 Enrollment ID: I20240102003045 |
| Provider Name | Tiffany Stute Leonatti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609438605 PECOS PAC ID: 5597108423 Enrollment ID: I20240208000310 |
| Provider Name | Sydney Grace Campany |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336739036 PECOS PAC ID: 8022454495 Enrollment ID: I20240307001668 |
| Provider Name | Casandra Zouhary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134657448 PECOS PAC ID: 5193161560 Enrollment ID: I20240307001748 |
| Provider Name | Melissa Ann Kluk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457426041 PECOS PAC ID: 0941646368 Enrollment ID: I20240307003300 |
| Provider Name | Maria Goudas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083749808 PECOS PAC ID: 5698113439 Enrollment ID: I20240329001420 |
| Provider Name | Melissa Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891168076 PECOS PAC ID: 0547601320 Enrollment ID: I20240510000580 |
| Provider Name | Richard Venn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427421973 PECOS PAC ID: 1658712435 Enrollment ID: I20240510000895 |
| Provider Name | Amanda Naso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124421250 PECOS PAC ID: 7214378058 Enrollment ID: I20240510003055 |
| Provider Name | Rebecca Nicely |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568829075 PECOS PAC ID: 6103267950 Enrollment ID: I20240511000236 |
| Provider Name | Megan Jeanette Duderstadt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356963532 PECOS PAC ID: 9032550728 Enrollment ID: I20240513001719 |
| Provider Name | Katherine E Gehlfuss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376831271 PECOS PAC ID: 4082055512 Enrollment ID: I20240514003897 |
| Provider Name | Jason Ignaut |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902165483 PECOS PAC ID: 4082056155 Enrollment ID: I20240522000420 |
| Provider Name | Marisa Fatica-rogaski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275058018 PECOS PAC ID: 2365884293 Enrollment ID: I20240523002791 |
| Provider Name | Brittany Vlasic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982195244 PECOS PAC ID: 6507308509 Enrollment ID: I20240605003443 |
| Provider Name | Olena Kulyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881312726 PECOS PAC ID: 8921540782 Enrollment ID: I20240607001478 |
| Provider Name | Patricia Leistiko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487205969 PECOS PAC ID: 0840733259 Enrollment ID: I20240613002449 |
Acts Of Kindness Behavior Support Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 5th Ave, Chardon, OH 44024 Phone: 440-286-9141 | |
Patricia Maskow Firem, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 South St, 2b, Chardon, OH 44024 Phone: 440-285-8746 Fax: 440-285-8746 | |
Ravenwood Mental Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552 | |
Family Pride Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Parker Ct, Chardon, OH 44024 Phone: 440-286-1553 | |
Cc Of Geauga County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 South St, Suite D-1, Chardon, OH 44024 Phone: 440-843-5615 | |
Cc Of Geauga County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10771 Mayfield Rd, Chardon, OH 44024 Phone: 440-285-3537 Fax: 440-285-4909 | |
Ubuntu Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Main St, Chardon, OH 44024 Phone: 440-214-9062 |