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309 Crutchfield Street Durham NC 27704 | |
| (919) 560-7305 | |
| (919) 560-7480 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 309 Crutchfield Street, Durham, North Carolina |
| Authorized Official Name and Position | Paul Galdys (DEPUTY CEO) |
| Authorized Official Contact | 6026363093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2701 N 16th Street Suite 316 Phoenix AZ 85006 Ph: (602) 898-7254 | 309 Crutchfield Street Durham NC 27704 Ph: (919) 560-7305 |
| NPI Number | 1700257664 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 1456500628 |
|---|---|
| Medicare Enrollment ID | O20180625000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700257664 | NPI | - | NPPES |
| Provider Name | Matthew P Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063664274 PECOS PAC ID: 0941360184 Enrollment ID: I20081118000787 |
| Provider Name | Abdul S Khalid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942492509 PECOS PAC ID: 6608928965 Enrollment ID: I20090716000641 |
| Provider Name | Shana Monique Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326356635 PECOS PAC ID: 0547413387 Enrollment ID: I20130104000036 |
| Provider Name | Amber Emery Remington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228935 PECOS PAC ID: 3476784638 Enrollment ID: I20140401001414 |
| Provider Name | Kondal R Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20160718001619 |
| Provider Name | Vincent J Cella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235775545 PECOS PAC ID: 4183052335 Enrollment ID: I20200321000334 |
| Provider Name | Laurel Elizabeth Devore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780170738 PECOS PAC ID: 2860873411 Enrollment ID: I20220714000321 |
| Provider Name | Lemuel Artavis Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518537034 PECOS PAC ID: 0547635633 Enrollment ID: I20230403000818 |
| Provider Name | Kristen Lyn Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447545645 PECOS PAC ID: 8527237569 Enrollment ID: I20240313002657 |
Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
Milicia Tedder Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Spring Creek Dr, Durham, NC 27704 Phone: 919-697-1674 |