| Shelton Behavioral Health, Llc | |
|
556 Niles Cortland Rd Se Warren OH 44484-2433 | |
| (330) 647-6207 | |
| Not Available |
| Full Name | Shelton Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 556 Niles Cortland Rd Se, Warren, Ohio |
| Authorized Official Name and Position | Kelsey Shelton (OWNER) |
| Authorized Official Contact | 8594620066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Behavioral Health, Llc 556 Niles Cortland Rd Se Warren OH 44484-2433 Ph: (330) 647-6207 | Shelton Behavioral Health, Llc 556 Niles Cortland Rd Se Warren OH 44484-2433 Ph: (330) 647-6207 |
| NPI Number | 1487264289 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 8123445277 |
|---|---|
| Medicare Enrollment ID | O20200903001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487264289 | NPI | - | NPPES |
| Provider Name | Kelsey R Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205389855 PECOS PAC ID: 6608154117 Enrollment ID: I20161102002747 |
| Provider Name | Justin E Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588108468 PECOS PAC ID: 2961785795 Enrollment ID: I20170201002418 |
| Provider Name | Rebekah Hope Rubesich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948863 PECOS PAC ID: 9133539752 Enrollment ID: I20201110000171 |
| Provider Name | Shannon Leigh Rozycki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578608683 PECOS PAC ID: 6901258110 Enrollment ID: I20240123002695 |
| Provider Name | Edward James White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033673272 PECOS PAC ID: 9638522147 Enrollment ID: I20240131005021 |
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