| Senior Care Behavioral Health Associates, Llc | |
|
48444 Bell School Rd Calcutta OH 43920-9646 | |
| (330) 385-7100 | |
| (330) 385-8434 |
| Full Name | Senior Care Behavioral Health Associates, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 48444 Bell School Rd, Calcutta, Ohio |
| Authorized Official Name and Position | Joseph Cilone (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3305651097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Behavioral Health Associates, Llc 5741 Shields Rd Ste B Canfield OH 44406-9814 Ph: (330) 565-1097 | Senior Care Behavioral Health Associates, Llc 48444 Bell School Rd Calcutta OH 43920-9646 Ph: (330) 385-7100 |
| NPI Number | 1497338297 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Medicare PECOS PAC ID | 7719382431 |
|---|---|
| Medicare Enrollment ID | O20210818003191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497338297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205497898 PECOS PAC ID: 4880019553 Enrollment ID: I20200729001821 |
| Provider Name | Sandra Lare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073699559 PECOS PAC ID: 3577599901 Enrollment ID: I20210818003376 |
| Provider Name | Candice Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952073066 PECOS PAC ID: 5193113660 Enrollment ID: I20211102003310 |