| Tms Neurohealth Illinois Pllc | |
|
303 Fountains Pkwy Ste 200 Fairview Heights IL 62208-2074 | |
| (416) 915-9100 | |
| Not Available |
| Full Name | Tms Neurohealth Illinois Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 303 Fountains Pkwy Ste 200, Fairview Heights, Illinois |
| Authorized Official Name and Position | Arman C Moshyedi (MEMBER) |
| Authorized Official Contact | 4169159100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Neurohealth Illinois Pllc 890 Yonge Street 7th Floor Toronto ON M4W3P-4 Ph: () - | Tms Neurohealth Illinois Pllc 303 Fountains Pkwy Ste 200 Fairview Heights IL 62208-2074 Ph: (416) 915-9100 |
| NPI Number | 1386292571 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 08/30/2019 |
| Medicare PECOS PAC ID | 8729412689 |
|---|---|
| Medicare Enrollment ID | O20191231000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386292571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Angela K Severado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787376 PECOS PAC ID: 3779899943 Enrollment ID: I20150902001972 |
| Provider Name | Abraham Medaris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422480 PECOS PAC ID: 3375769797 Enrollment ID: I20200108000377 |
| Provider Name | Vadim Y Baram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124007380 PECOS PAC ID: 3577518299 Enrollment ID: I20200108000501 |
| Provider Name | Steven Harvey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811007289 PECOS PAC ID: 2163449653 Enrollment ID: I20200108000942 |
| Provider Name | Rachel Morel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568664159 PECOS PAC ID: 7810174174 Enrollment ID: I20210719001151 |
| Provider Name | Matthew Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770913089 PECOS PAC ID: 4486884129 Enrollment ID: I20220422000994 |
| Provider Name | Kathy Jo Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497391304 PECOS PAC ID: 1951743129 Enrollment ID: I20240521000546 |
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