| Shifa Health Pllc | |
|
1103 Cleveland Ave Mount Vernon WA 98273-4215 | |
| (360) 336-6868 | |
| (360) 336-6866 |
| Full Name | Shifa Health Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1103 Cleveland Ave, Mount Vernon, Washington |
| Authorized Official Name and Position | Rozina Lakhani (MANAGING DIRECTOR) |
| Authorized Official Contact | 3603366868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifa Health Pllc 1103 Cleveland Ave Mount Vernon WA 98273-4215 Ph: (360) 336-6868 | Shifa Health Pllc 1103 Cleveland Ave Mount Vernon WA 98273-4215 Ph: (360) 336-6868 |
| NPI Number | 1356415327 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638070501 |
|---|---|
| Medicare Enrollment ID | O20040115000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356415327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | MD00037423 (Washington) | Primary |
| Provider Name | Dennis W Gaither |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730123084 PECOS PAC ID: 1658326012 Enrollment ID: I20050317001054 |
| Provider Name | Jeffrey A Berger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588601355 PECOS PAC ID: 4183666316 Enrollment ID: I20050526000841 |
| Provider Name | Susan L Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598892085 PECOS PAC ID: 2860589355 Enrollment ID: I20071031000129 |
| Provider Name | Rozina R Lakhani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174682371 PECOS PAC ID: 3072414846 Enrollment ID: I20110118001230 |
| Provider Name | Leif S Benjestorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619109774 PECOS PAC ID: 9234313172 Enrollment ID: I20110418000558 |
| Provider Name | Suzanne M Dalgarn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336419803 PECOS PAC ID: 3678708716 Enrollment ID: I20131028000856 |
| Provider Name | Jennie C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427458660 PECOS PAC ID: 7315169539 Enrollment ID: I20141103002578 |
| Provider Name | Nancy M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371978 PECOS PAC ID: 5092038182 Enrollment ID: I20141222000736 |
| Provider Name | Kyle J Ozechowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962726091 PECOS PAC ID: 7315259405 Enrollment ID: I20150701003001 |
| Provider Name | Amy K Tierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053658724 PECOS PAC ID: 4789984238 Enrollment ID: I20151204002262 |
| Provider Name | Karen A Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942664214 PECOS PAC ID: 9234428947 Enrollment ID: I20160519001717 |
| Provider Name | Rebecca L Skelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296713 PECOS PAC ID: 5991063919 Enrollment ID: I20171221001352 |
| Provider Name | Megan C Irving |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255780219 PECOS PAC ID: 3971860495 Enrollment ID: I20180220000646 |
| Provider Name | David F Hambidge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740639707 PECOS PAC ID: 6901160845 Enrollment ID: I20180501002130 |
| Provider Name | Kenneth Britt Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790270296 PECOS PAC ID: 6901153030 Enrollment ID: I20180720001646 |
| Provider Name | Eric Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205490661 PECOS PAC ID: 8628307519 Enrollment ID: I20190830001672 |
| Provider Name | Kateryna Kuzmychova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447819172 PECOS PAC ID: 0840521167 Enrollment ID: I20191016003854 |
| Provider Name | Reginah I Nampinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104394097 PECOS PAC ID: 4183956964 Enrollment ID: I20191028002468 |
| Provider Name | Siri E Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184308900 PECOS PAC ID: 7315300159 Enrollment ID: I20230828001946 |
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North Cascade Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S 2nd St Ste 104, Mount Vernon, WA 98273 Phone: 360-707-4650 | |
Phoenix Recovery House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 E College Way, Mount Vernon, WA 98273 Phone: 360-848-8437 | |
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