| West Central Behavioral Health | |
|
9 Hanover Street Suite 2 Lebanon NH 03766 | |
| (603) 448-0126 | |
| (603) 448-6001 |
| Full Name | West Central Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9 Hanover Street, Lebanon, New Hampshire |
| Authorized Official Name and Position | Jason Adams (CFO) |
| Authorized Official Contact | 6034480126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Behavioral Health 9 Hanover Street Suite 2 Lebanon NH 03766 Ph: (603) 448-0126 | West Central Behavioral Health 9 Hanover Street Suite 2 Lebanon NH 03766 Ph: (603) 448-0126 |
| NPI Number | 1174635684 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 0840263232 |
|---|---|
| Medicare Enrollment ID | O20040813001200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174635684 | NPI | - | NPPES |
| 30931928 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Diane Marlene Roston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043372543 PECOS PAC ID: 3779510177 Enrollment ID: I20050718000542 |
| Provider Name | Gwendolyn Barros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962577270 PECOS PAC ID: 1557377637 Enrollment ID: I20060227000494 |
| Provider Name | Robert Francis Morrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316969983 PECOS PAC ID: 4486719952 Enrollment ID: I20091029000196 |
| Provider Name | Robert Wendling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033287941 PECOS PAC ID: 6507994456 Enrollment ID: I20100513000481 |
| Provider Name | Louise C Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972675536 PECOS PAC ID: 3870752801 Enrollment ID: I20120312000527 |
| Provider Name | Michael B Przydzielski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124249735 PECOS PAC ID: 0244355782 Enrollment ID: I20130409000178 |
| Provider Name | Jody A Grablewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982728762 PECOS PAC ID: 7113212093 Enrollment ID: I20160817002406 |
| Provider Name | Barbara A Zinman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356624498 PECOS PAC ID: 9133415755 Enrollment ID: I20160908000936 |
| Provider Name | Milangel T Concepcion Zayas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407147564 PECOS PAC ID: 8426344094 Enrollment ID: I20170802000482 |
| Provider Name | Jeffrey D Reed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346669017 PECOS PAC ID: 7315239829 Enrollment ID: I20181210002183 |
| Provider Name | Willard Metcalfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194179044 PECOS PAC ID: 5799025177 Enrollment ID: I20190321001309 |
| Provider Name | Matthew Squires |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134650617 PECOS PAC ID: 3577836931 Enrollment ID: I20220105002328 |
| Provider Name | Dia Ballou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346649142 PECOS PAC ID: 7618315771 Enrollment ID: I20240409001643 |
Alice Peck Day Memorial Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10 Alice Peck Day Dr, Lebanon, NH 03766 Phone: 603-448-3121 Fax: 603-448-7462 | |
Hannah House, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Abbott St, Lebanon, NH 03766 Phone: 603-448-5339 Fax: 603-448-5398 | |
Julie Puttgen Expressive And Somatic Therapies, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Bank St Ste 302, Lebanon, NH 03766 Phone: 802-727-0494 | |
Dartmouth Hitchcock Psychiatry Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-6176 | |
Headrest Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Church St, Lebanon, NH 03766 Phone: 603-448-4872 Fax: 603-448-1829 | |
Mill Brook Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 W Park St, Lebanon, NH 03766 Phone: 802-243-0215 |