| Rhodium Care Group Pllc | |
|
1300 Don Juan Rd Hertford NC 27944-9340 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Rhodium Care Group Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1300 Don Juan Rd, Hertford, North Carolina |
| Authorized Official Name and Position | Jeffrey Severa (OWNER) |
| Authorized Official Contact | 7185340689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhodium Care Group Pllc 244 Gov Eden House Rd Merry Hill NC 27957-9445 Ph: () - | Rhodium Care Group Pllc 1300 Don Juan Rd Hertford NC 27944-9340 Ph: (718) 534-0689 |
| NPI Number | 1699534537 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 1052750569 |
|---|---|
| Medicare Enrollment ID | O20240417001217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699534537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Francis Severa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928403 PECOS PAC ID: 7618942475 Enrollment ID: I20041103001038 |
| Provider Name | Shukairo M. Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659666444 PECOS PAC ID: 8921241522 Enrollment ID: I20130829000692 |
| Provider Name | Arlette F Owens-mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205342052 PECOS PAC ID: 1355602343 Enrollment ID: I20180308001733 |
| Provider Name | Jaime Leigh Graf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982297420 PECOS PAC ID: 7416305453 Enrollment ID: I20231130002913 |
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