| Solutions Behavioral Healthcare Professionals, Pc | |
|
1547 30th Ave S Moorhead MN 56560 | |
| (218) 287-4338 | |
| (218) 287-5928 |
| Full Name | Solutions Behavioral Healthcare Professionals, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1547 30th Ave S, Moorhead, Minnesota |
| Authorized Official Name and Position | Joel T Bakken (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2182874338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solutions Behavioral Healthcare Professionals, Pc 1547 30th Ave S Moorhead MN 56560 Ph: (218) 287-4338 | Solutions Behavioral Healthcare Professionals, Pc 1547 30th Ave S Moorhead MN 56560 Ph: (218) 287-4338 |
| NPI Number | 1801909239 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Medicare PECOS PAC ID | 0345209524 |
|---|---|
| Medicare Enrollment ID | O20041004000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801909239 | NPI | - | NPPES |
| 010807300 | Medicaid | MN | |
| 139L650 | Other | MN | BCBS |
| 1460334 | Medicaid | ND |
| Provider Name | Tamara M Madler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053474411 PECOS PAC ID: 0648162024 Enrollment ID: I20040329001428 |
| Provider Name | David H Whitcomb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316140346 PECOS PAC ID: 6305937301 Enrollment ID: I20070806000478 |
| Provider Name | William A Metcalfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396831509 PECOS PAC ID: 4981741188 Enrollment ID: I20091020000721 |
| Provider Name | Jill Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174893879 PECOS PAC ID: 1456511823 Enrollment ID: I20120321000657 |
| Provider Name | Steven Meek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093005639 PECOS PAC ID: 6709013766 Enrollment ID: I20140708000857 |
| Provider Name | Jessica A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679873525 PECOS PAC ID: 8628220019 Enrollment ID: I20141103002548 |
| Provider Name | Jo Ellison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841532942 PECOS PAC ID: 1153631924 Enrollment ID: I20151106000281 |
| Provider Name | Mary Katharine Crompton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477955144 PECOS PAC ID: 5092093377 Enrollment ID: I20161021001033 |
| Provider Name | Kelsey Jo Thoreson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487173803 PECOS PAC ID: 9931536612 Enrollment ID: I20200218001948 |
| Provider Name | Kelly Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184294670 PECOS PAC ID: 4880076785 Enrollment ID: I20220808003511 |
| Provider Name | Courtney Christenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245827427 PECOS PAC ID: 8426428350 Enrollment ID: I20230110001294 |
| Provider Name | Carolyn Meske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922192038 PECOS PAC ID: 4688025075 Enrollment ID: I20240110002279 |
| Provider Name | Misty Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548908932 PECOS PAC ID: 9638521768 Enrollment ID: I20240114000210 |
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