| Monarch | |
|
350 Pee Dee Ave, Suite 101, Albemarle, NC 28001-4932 | |
| (704) 986-1500 | |
| (704) 982-5279 |
| Full Name | Monarch |
|---|---|
| Type | Facility |
| Speciality | Community/behavioral Health |
| Location | 350 Pee Dee Ave, Albemarle, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801116405 | NPI | - | NPPES |
| Provider Name | Valerie Frances Holmes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871602532 PECOS PAC ID: 7911806179 Enrollment ID: I20040107000229 |
| Provider Name | Amie Lynn Sharrits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245266154 PECOS PAC ID: 0143123943 Enrollment ID: I20040129000539 |
| Provider Name | Vanessa Stanton Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205896925 PECOS PAC ID: 6507852225 Enrollment ID: I20040420001513 |
| Provider Name | Ramaswamy R Sriraman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134230857 PECOS PAC ID: 2062400302 Enrollment ID: I20040504001584 |
| Provider Name | Sharyn Comeau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548293723 PECOS PAC ID: 8820064512 Enrollment ID: I20040903000372 |
| Provider Name | Douglas G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023169950 PECOS PAC ID: 2567439870 Enrollment ID: I20040915001052 |
| Provider Name | Chin-ho T Pak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386721470 PECOS PAC ID: 5991774150 Enrollment ID: I20040925000155 |
| Provider Name | Amy R Pharr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275537037 PECOS PAC ID: 9537129036 Enrollment ID: I20041018001062 |
| Provider Name | Devendra C Shah |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164418125 PECOS PAC ID: 7517921646 Enrollment ID: I20041117000930 |
| Provider Name | Snezana Z Cvejin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609929496 PECOS PAC ID: 1759349020 Enrollment ID: I20050103000900 |
| Provider Name | Karen Leigh Billmire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912949462 PECOS PAC ID: 0244281715 Enrollment ID: I20050202000662 |
| Provider Name | Praful C Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376660530 PECOS PAC ID: 2163450438 Enrollment ID: I20050728000240 |
| Provider Name | Malti Praful Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265659965 PECOS PAC ID: 8628006970 Enrollment ID: I20050728000997 |
| Provider Name | Swati S Dakoriya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417012618 PECOS PAC ID: 2567496318 Enrollment ID: I20050921001037 |
| Provider Name | Lorraine Marie Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669563250 PECOS PAC ID: 4082635768 Enrollment ID: I20051208000925 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588655666 PECOS PAC ID: 2163436072 Enrollment ID: I20060131000316 |
| Provider Name | Alexia Sandra Maneschi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417000381 PECOS PAC ID: 6406865609 Enrollment ID: I20060417000632 |
| Provider Name | Randy D Readling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952361610 PECOS PAC ID: 9931110434 Enrollment ID: I20060517000005 |
| Provider Name | Carol W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154364578 PECOS PAC ID: 3274545199 Enrollment ID: I20060614000281 |
| Provider Name | Jane Angell Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336249846 PECOS PAC ID: 9537115241 Enrollment ID: I20070210000008 |
| Provider Name | William N Garrot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902813421 PECOS PAC ID: 7214032804 Enrollment ID: I20070410000157 |
| Provider Name | Jacqueline Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861528200 PECOS PAC ID: 3072612936 Enrollment ID: I20070619000380 |
| Provider Name | Lyana Doty Nechyba |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609960285 PECOS PAC ID: 0345331641 Enrollment ID: I20070731000665 |
| Provider Name | Theodus Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154340768 PECOS PAC ID: 6608967203 Enrollment ID: I20070810000775 |
| Provider Name | Shelley J Everts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326253774 PECOS PAC ID: 2365534872 Enrollment ID: I20070828000551 |
| Provider Name | Nilima V Shukla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922189877 PECOS PAC ID: 2961505003 Enrollment ID: I20070906000770 |
| Provider Name | Thai T Phan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326135021 PECOS PAC ID: 0244220580 Enrollment ID: I20071112000095 |
| Provider Name | Sonya Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225215106 PECOS PAC ID: 4688757859 Enrollment ID: I20080211000698 |
| Provider Name | Venkata R Chittilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740291681 PECOS PAC ID: 8921181629 Enrollment ID: I20080218000489 |
| Provider Name | Thomas S Pedigo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851457857 PECOS PAC ID: 4183700693 Enrollment ID: I20080325000152 |
| Provider Name | Sara Z Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821266917 PECOS PAC ID: 2961571187 Enrollment ID: I20080514000420 |
| Provider Name | Pamela S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508026535 PECOS PAC ID: 9335212570 Enrollment ID: I20080721000485 |
| Provider Name | Vivian D Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629177472 PECOS PAC ID: 8729065263 Enrollment ID: I20080723000816 |
| Provider Name | Shane W Rau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811925803 PECOS PAC ID: 7113925512 Enrollment ID: I20080804000153 |
| Provider Name | Dena C Armstrong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669550505 PECOS PAC ID: 1355418989 Enrollment ID: I20080924000457 |
| Provider Name | Vivian Jill Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134111057 PECOS PAC ID: 0244390698 Enrollment ID: I20081115000151 |
| Provider Name | Mary E Froelich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487634192 PECOS PAC ID: 0749330611 Enrollment ID: I20090615000651 |
| Provider Name | Pamela E Reid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225081060 PECOS PAC ID: 6608927769 Enrollment ID: I20090630000645 |
| Provider Name | Iverson B Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891828224 PECOS PAC ID: 4183778780 Enrollment ID: I20090817000482 |
| Provider Name | Whitney J.d Bakken |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275738890 PECOS PAC ID: 2860532223 Enrollment ID: I20091215000415 |
| Provider Name | Jennifer W Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275641664 PECOS PAC ID: 1850431040 Enrollment ID: I20091218000465 |
| Provider Name | Sastry V Neti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376505644 PECOS PAC ID: 0547396541 Enrollment ID: I20100330000039 |
| Provider Name | Timothy W Bradshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417271867 PECOS PAC ID: 5698803922 Enrollment ID: I20100507000058 |
| Provider Name | Kay Barnes Mcgovern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134179997 PECOS PAC ID: 2860521440 Enrollment ID: I20100519000602 |
| Provider Name | Kimberly Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356665822 PECOS PAC ID: 8628108834 Enrollment ID: I20100615000651 |
| Provider Name | John Edward Latz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013972025 PECOS PAC ID: 7719019637 Enrollment ID: I20100713000121 |
| Provider Name | George L Vergolias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851478143 PECOS PAC ID: 4587788997 Enrollment ID: I20100907000772 |
| Provider Name | John R Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780862763 PECOS PAC ID: 3476746546 Enrollment ID: I20101021000261 |
| Provider Name | Kimberly S Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871735068 PECOS PAC ID: 8820141427 Enrollment ID: I20101116000636 |
| Provider Name | Lauren N Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912203522 PECOS PAC ID: 1658551437 Enrollment ID: I20110210001047 |
| Provider Name | Frantz E Pierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710168042 PECOS PAC ID: 4587844188 Enrollment ID: I20110215000405 |
| Provider Name | Robert James Mchale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841412053 PECOS PAC ID: 1850576877 Enrollment ID: I20110505000874 |
| Provider Name | Jade J Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457650525 PECOS PAC ID: 3274702139 Enrollment ID: I20110810000043 |
| Provider Name | Stephanie Ann Ehrlich Seitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487940219 PECOS PAC ID: 8628240397 Enrollment ID: I20111003000350 |
| Provider Name | Brenda Sue Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831372721 PECOS PAC ID: 8628238326 Enrollment ID: I20120404000011 |
| Provider Name | Analiza Liza Margarita Cisneros-howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215169453 PECOS PAC ID: 0042473068 Enrollment ID: I20120531000207 |
| Provider Name | Nathan Marcellous Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629207576 PECOS PAC ID: 3476717141 Enrollment ID: I20120608000103 |
| Provider Name | Alicia T Boldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396048534 PECOS PAC ID: 9931364205 Enrollment ID: I20120712000092 |
| Provider Name | Harley Wakeman Smoot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316918493 PECOS PAC ID: 2264689637 Enrollment ID: I20120904000149 |
| Provider Name | William Carson Felkel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821309998 PECOS PAC ID: 8628221090 Enrollment ID: I20130115000198 |
| Provider Name | Chalonda Michelle Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780933556 PECOS PAC ID: 8527205400 Enrollment ID: I20130514000000 |
| Provider Name | Leah S Warden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316224447 PECOS PAC ID: 4789823618 Enrollment ID: I20130625000409 |
| Provider Name | Meghan Blankmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205173911 PECOS PAC ID: 0749421493 Enrollment ID: I20130723000951 |
| Provider Name | Mary Anne Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891040234 PECOS PAC ID: 9335382126 Enrollment ID: I20130827000029 |
| Provider Name | Shukairo Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659666444 PECOS PAC ID: 8921241522 Enrollment ID: I20130829000692 |
| Provider Name | Autumn L Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457515843 PECOS PAC ID: 9335382936 Enrollment ID: I20130829000756 |
| Provider Name | Shaunak S Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295172252 PECOS PAC ID: 1456594928 Enrollment ID: I20130830000765 |
| Provider Name | Susan Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093776320 PECOS PAC ID: 6305864299 Enrollment ID: I20130910000688 |
| Provider Name | Eric J Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154666576 PECOS PAC ID: 6002045804 Enrollment ID: I20140127000583 |
| Provider Name | Adam J Cheyunski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962839886 PECOS PAC ID: 1355570177 Enrollment ID: I20140127000993 |
| Provider Name | Louvonda D Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558626549 PECOS PAC ID: 5991934523 Enrollment ID: I20140131000614 |
| Provider Name | Amber Emery Remington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902228935 PECOS PAC ID: 3476784638 Enrollment ID: I20140401001414 |
| Provider Name | Derrick Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194039099 PECOS PAC ID: 5294958377 Enrollment ID: I20140516001814 |
| Provider Name | Karen S Holst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376676601 PECOS PAC ID: 4789807876 Enrollment ID: I20140516002044 |
| Provider Name | Anne C Herron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023234937 PECOS PAC ID: 9638396088 Enrollment ID: I20140808001631 |
| Provider Name | Jennifer Parker Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013245745 PECOS PAC ID: 0648497479 Enrollment ID: I20140818002778 |
| Provider Name | Karen S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538183447 PECOS PAC ID: 0547362238 Enrollment ID: I20140825002693 |
| Provider Name | Brian Sealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548698434 PECOS PAC ID: 4688892888 Enrollment ID: I20140829002305 |
| Provider Name | Kate L Slotwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508154824 PECOS PAC ID: 6800059395 Enrollment ID: I20140916000736 |
| Provider Name | Nora Mw Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841515079 PECOS PAC ID: 8527289412 Enrollment ID: I20141017000625 |
| Provider Name | Saeed Aflatooni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235224106 PECOS PAC ID: 4486540903 Enrollment ID: I20141204001531 |
| Provider Name | Quanita Q Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154660827 PECOS PAC ID: 0143543793 Enrollment ID: I20150106002265 |
| Provider Name | Alemu Mengistu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497150155 PECOS PAC ID: 1658695945 Enrollment ID: I20150114001997 |
| Provider Name | Grace Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114104817 PECOS PAC ID: 8729302526 Enrollment ID: I20150127002283 |
| Provider Name | Katherine B Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720490899 PECOS PAC ID: 7911222526 Enrollment ID: I20150202000953 |
| Provider Name | Novlett S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326462524 PECOS PAC ID: 9436373396 Enrollment ID: I20150204002454 |
| Provider Name | Tracy N Yellin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437405024 PECOS PAC ID: 5890010706 Enrollment ID: I20150218000901 |
| Provider Name | Wanda R Mcwilliams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710261888 PECOS PAC ID: 2466778105 Enrollment ID: I20150224000944 |
| Provider Name | Kelly Kellerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073534384 PECOS PAC ID: 3375855307 Enrollment ID: I20150706001813 |
| Provider Name | Joanna Schechner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518357383 PECOS PAC ID: 0749596195 Enrollment ID: I20150831000877 |
| Provider Name | Peter B Godfrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407232523 PECOS PAC ID: 6305146804 Enrollment ID: I20151207001433 |
| Provider Name | Ashley T Navey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104294230 PECOS PAC ID: 3274835012 Enrollment ID: I20160111001148 |
| Provider Name | Adam C Mcdonough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225349053 PECOS PAC ID: 8325343429 Enrollment ID: I20160229000303 |
| Provider Name | Amy Smith Medlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023458767 PECOS PAC ID: 5193021343 Enrollment ID: I20160314002187 |
| Provider Name | Laura E Horgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427066802 PECOS PAC ID: 9234437310 Enrollment ID: I20160406002028 |
| Provider Name | Douglas R Eitel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275598989 PECOS PAC ID: 5991728933 Enrollment ID: I20160602000464 |
| Provider Name | Gayle C Van Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306172184 PECOS PAC ID: 1658594692 Enrollment ID: I20160727002954 |
| Provider Name | Tarek Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558620682 PECOS PAC ID: 7012236920 Enrollment ID: I20160805000359 |
| Provider Name | Fred Sk Amematsro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750735825 PECOS PAC ID: 4789979352 Enrollment ID: I20160822000566 |
| Provider Name | Desiree Marie Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356700561 PECOS PAC ID: 9032407093 Enrollment ID: I20161007000844 |
| Provider Name | Ikenna Obasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750649455 PECOS PAC ID: 9739337668 Enrollment ID: I20161019002170 |
| Provider Name | Michelle R Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295063790 PECOS PAC ID: 0042599235 Enrollment ID: I20161110001349 |
| Provider Name | Yu Wei Shan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339785 PECOS PAC ID: 2668752999 Enrollment ID: I20161202001624 |
| Provider Name | Carrie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700239522 PECOS PAC ID: 6901194760 Enrollment ID: I20161212001228 |
| Provider Name | Corrine E Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205255767 PECOS PAC ID: 4486934007 Enrollment ID: I20161216001102 |
| Provider Name | Bamidele A Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417995978 PECOS PAC ID: 0547270365 Enrollment ID: I20170104001608 |
| Provider Name | Tremika R Woodley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217208 PECOS PAC ID: 6507141876 Enrollment ID: I20170329000703 |
| Provider Name | Elizabeth P Yopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104240530 PECOS PAC ID: 5597032516 Enrollment ID: I20170523001857 |
| Provider Name | Amy Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679941322 PECOS PAC ID: 3173832151 Enrollment ID: I20170724000047 |
| Provider Name | Sirajuddin Ismail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902822901 PECOS PAC ID: 2163329624 Enrollment ID: I20170809002964 |
| Provider Name | Carin E Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649692203 PECOS PAC ID: 7911279500 Enrollment ID: I20170816002804 |
| Provider Name | Nicole F Habit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770004822 PECOS PAC ID: 6608140603 Enrollment ID: I20170914000829 |
| Provider Name | Troy M Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568989465 PECOS PAC ID: 9830465335 Enrollment ID: I20171030000008 |
| Provider Name | Carla Gray Clark-mcrae |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922418805 PECOS PAC ID: 2264708601 Enrollment ID: I20171030002128 |
| Provider Name | Niah J White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730419235 PECOS PAC ID: 8820354087 Enrollment ID: I20171106000292 |
| Provider Name | Michelle L Chachkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750574844 PECOS PAC ID: 4385902196 Enrollment ID: I20171228001926 |
| Provider Name | Jian Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083132120 PECOS PAC ID: 5294093993 Enrollment ID: I20180102001324 |
| Provider Name | Rejoice Mashangeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962914283 PECOS PAC ID: 2466710025 Enrollment ID: I20180103002096 |
| Provider Name | Deborah Granick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790059103 PECOS PAC ID: 0941420657 Enrollment ID: I20180129001994 |
| Provider Name | Jessica L Burstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164836243 PECOS PAC ID: 1951674795 Enrollment ID: I20180209001961 |
| Provider Name | Patricia A Krikorian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124302849 PECOS PAC ID: 5991066763 Enrollment ID: I20180220000592 |
| Provider Name | Shelvey J Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588900989 PECOS PAC ID: 1153682604 Enrollment ID: I20180227000015 |
| Provider Name | Jacqueline Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992124176 PECOS PAC ID: 3173749579 Enrollment ID: I20180306000785 |
| Provider Name | Brandi Lynn Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326416835 PECOS PAC ID: 5799047379 Enrollment ID: I20180319002050 |
| Provider Name | Erica B Bales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558742148 PECOS PAC ID: 8224393095 Enrollment ID: I20180525001712 |
| Provider Name | Christina Robertson Hussami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770965386 PECOS PAC ID: 2466717939 Enrollment ID: I20180604002094 |
| Provider Name | Jessica G Diket |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699273391 PECOS PAC ID: 2860747680 Enrollment ID: I20180620000193 |
| Provider Name | Jose Pablo Bogantes Montero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659508000 PECOS PAC ID: 2264733229 Enrollment ID: I20180904002480 |
| Provider Name | Shuantia Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740667195 PECOS PAC ID: 1658622923 Enrollment ID: I20180925004115 |
| Provider Name | Grace Anne Stimpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700332103 PECOS PAC ID: 0143574277 Enrollment ID: I20181108001414 |
| Provider Name | Kelly Frances Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013307412 PECOS PAC ID: 5395024731 Enrollment ID: I20181114001526 |
| Provider Name | Leslie P Schellbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891926101 PECOS PAC ID: 5991049710 Enrollment ID: I20181205003183 |
| Provider Name | Emily N Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275055584 PECOS PAC ID: 3678847829 Enrollment ID: I20181206001488 |
| Provider Name | Roseline O Nwadigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063921930 PECOS PAC ID: 3971847559 Enrollment ID: I20181210000109 |
| Provider Name | Charley Jo Cross |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902380223 PECOS PAC ID: 4789928276 Enrollment ID: I20181211001202 |
| Provider Name | Maimouna N Diop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104396456 PECOS PAC ID: 2062750318 Enrollment ID: I20190211003091 |
| Provider Name | Amalie S Hofbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740671056 PECOS PAC ID: 7012257561 Enrollment ID: I20190319002434 |
| Provider Name | Stacey A Hostetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558766584 PECOS PAC ID: 6608148283 Enrollment ID: I20190411001670 |
| Provider Name | Ashley B Abernethy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730483561 PECOS PAC ID: 0941542773 Enrollment ID: I20190426002353 |
| Provider Name | Cheryl H Billings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316013642 PECOS PAC ID: 3971845629 Enrollment ID: I20190429000867 |
| Provider Name | Hazel T Fishel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659647709 PECOS PAC ID: 0345462420 Enrollment ID: I20190529002978 |
| Provider Name | Matthew R Drew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801108717 PECOS PAC ID: 9133452626 Enrollment ID: I20190617000679 |
| Provider Name | Janiqua M Obey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992234041 PECOS PAC ID: 0840526356 Enrollment ID: I20190722002119 |
| Provider Name | Kara Rochon Holden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285196980 PECOS PAC ID: 6204163348 Enrollment ID: I20190812002621 |
| Provider Name | Alexandra N Tuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578979472 PECOS PAC ID: 2961732920 Enrollment ID: I20190918001596 |
| Provider Name | Julianne M Kiesel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154877868 PECOS PAC ID: 4183958267 Enrollment ID: I20191001001809 |
| Provider Name | Adrienne M Sievert Rombach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962943845 PECOS PAC ID: 6406288042 Enrollment ID: I20191119003196 |
| Provider Name | Timothy B Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609351501 PECOS PAC ID: 5193159051 Enrollment ID: I20191231000391 |
| Provider Name | Kenzie Delrae Elmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891109740 PECOS PAC ID: 1052747672 Enrollment ID: I20200130000784 |
| Provider Name | Sue E Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932507159 PECOS PAC ID: 2062848922 Enrollment ID: I20200212002567 |
| Provider Name | Rebecca Laura Mahmoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780410 PECOS PAC ID: 5092142141 Enrollment ID: I20200302000665 |
| Provider Name | Latoya C James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821391038 PECOS PAC ID: 6507127446 Enrollment ID: I20200324001411 |
| Provider Name | Lindsay Marie Allotey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619501202 PECOS PAC ID: 0749618825 Enrollment ID: I20200324001891 |
| Provider Name | Chalyce Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912031519 PECOS PAC ID: 9133446594 Enrollment ID: I20200326000379 |
| Provider Name | Richard Y Agyekum Addo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700419835 PECOS PAC ID: 0143650911 Enrollment ID: I20200417002191 |
| Provider Name | Belinda King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548892052 PECOS PAC ID: 2466882253 Enrollment ID: I20200417003220 |
| Provider Name | Lori Lolita Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174075683 PECOS PAC ID: 2365873999 Enrollment ID: I20200514000482 |
| Provider Name | Leesha S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750634416 PECOS PAC ID: 8022439470 Enrollment ID: I20200610002947 |
| Provider Name | Sirrell Lashawn Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922542778 PECOS PAC ID: 0143642579 Enrollment ID: I20200612000352 |
| Provider Name | Rashaun Milese Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609269596 PECOS PAC ID: 3072935154 Enrollment ID: I20200618000185 |
| Provider Name | Christine Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396390456 PECOS PAC ID: 3779907498 Enrollment ID: I20200728000469 |
| Provider Name | Xavious Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326579806 PECOS PAC ID: 9234557570 Enrollment ID: I20200917002421 |
| Provider Name | Kellyn A Hensley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518595818 PECOS PAC ID: 4688084999 Enrollment ID: I20201027002549 |
| Provider Name | Bernita J Vereen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982214615 PECOS PAC ID: 4385054659 Enrollment ID: I20201028001465 |
| Provider Name | Tomaseina Javonnie Parker-talib |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700383205 PECOS PAC ID: 2961814751 Enrollment ID: I20201221000610 |
| Provider Name | Danielle Lungelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669918942 PECOS PAC ID: 5092127753 Enrollment ID: I20201222001338 |
| Provider Name | Jurell K Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881292134 PECOS PAC ID: 5092127613 Enrollment ID: I20201223000852 |
| Provider Name | Allison D Kinlaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528618352 PECOS PAC ID: 4486067766 Enrollment ID: I20210105002173 |
| Provider Name | Lisette E Rivero Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992300594 PECOS PAC ID: 7012321920 Enrollment ID: I20210203002314 |
| Provider Name | Jean T Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558594101 PECOS PAC ID: 6800201690 Enrollment ID: I20210208001814 |
| Provider Name | Justine Am Mohre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457838732 PECOS PAC ID: 0042627945 Enrollment ID: I20210319001736 |
| Provider Name | Melissa Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609074111 PECOS PAC ID: 9830507946 Enrollment ID: I20210408002788 |
| Provider Name | Natasha Jane Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790387447 PECOS PAC ID: 1557776721 Enrollment ID: I20210413001441 |
| Provider Name | Katie Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770921751 PECOS PAC ID: 9739421025 Enrollment ID: I20210428001961 |
| Provider Name | Denise Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346820388 PECOS PAC ID: 0345659140 Enrollment ID: I20210507000407 |
| Provider Name | Briana Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194208777 PECOS PAC ID: 7517366065 Enrollment ID: I20210603000703 |
| Provider Name | Andrea Bennerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699293845 PECOS PAC ID: 5092119164 Enrollment ID: I20210811002642 |
| Provider Name | Melissa R Pridgen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417521253 PECOS PAC ID: 6305240482 Enrollment ID: I20210811002974 |
| Provider Name | Courtney Tierra Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770093452 PECOS PAC ID: 6901201607 Enrollment ID: I20210818002205 |
| Provider Name | Autumn C Schoonover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861912065 PECOS PAC ID: 8820493224 Enrollment ID: I20210824000643 |
| Provider Name | Julia Harrelson Oesterle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972052579 PECOS PAC ID: 9032516182 Enrollment ID: I20210916001633 |
| Provider Name | Leslie Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376111021 PECOS PAC ID: 5092112953 Enrollment ID: I20210921001326 |
| Provider Name | Joseph R Kivett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780257246 PECOS PAC ID: 5395142103 Enrollment ID: I20210921003301 |
| Provider Name | Leslie Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376111021 PECOS PAC ID: 5092112953 Enrollment ID: I20210922003691 |
| Provider Name | Lisbeth Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528615416 PECOS PAC ID: 0345647699 Enrollment ID: I20210929001057 |
| Provider Name | Brian Schultz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922393909 PECOS PAC ID: 2769797471 Enrollment ID: I20211006003411 |
| Provider Name | Elizabeth Diane Lemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427632710 PECOS PAC ID: 6406254796 Enrollment ID: I20211018002973 |
| Provider Name | Nakeyta S Goolsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114599214 PECOS PAC ID: 3971992116 Enrollment ID: I20211110000856 |
| Provider Name | Manasa Musunuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487929816 PECOS PAC ID: 7113147745 Enrollment ID: I20211206002466 |
| Provider Name | Mary Boger Denina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376211862 PECOS PAC ID: 7315338464 Enrollment ID: I20211227001354 |
| Provider Name | Alyssa Hunter Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528735925 PECOS PAC ID: 4688066434 Enrollment ID: I20220128000202 |
| Provider Name | Monica M Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215512074 PECOS PAC ID: 0648662403 Enrollment ID: I20220128000336 |
| Provider Name | Melissa Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982372751 PECOS PAC ID: 3577956275 Enrollment ID: I20220201001990 |
| Provider Name | Evelina Trost |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811649403 PECOS PAC ID: 4587057468 Enrollment ID: I20220217001644 |
| Provider Name | Tonia Locklear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437704467 PECOS PAC ID: 7113311531 Enrollment ID: I20220301002283 |
| Provider Name | Felecia Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225426067 PECOS PAC ID: 8224422365 Enrollment ID: I20220307000448 |
| Provider Name | Destiny Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801458450 PECOS PAC ID: 2567857543 Enrollment ID: I20220310001445 |
| Provider Name | Patricia Rogers Babin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326795543 PECOS PAC ID: 5395131734 Enrollment ID: I20220411002753 |
| Provider Name | Teererai Precious Mutyavairi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902121312 PECOS PAC ID: 9032596390 Enrollment ID: I20220506002238 |
| Provider Name | Shannette M Ailes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677210 PECOS PAC ID: 0042530958 Enrollment ID: I20220519002525 |
| Provider Name | Tyler N Edgerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851904999 PECOS PAC ID: 5092192609 Enrollment ID: I20220520001862 |
| Provider Name | Denis Kipkemoi Rono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932740941 PECOS PAC ID: 5092141556 Enrollment ID: I20220708002952 |
| Provider Name | April B Ruckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487111001 PECOS PAC ID: 5193109577 Enrollment ID: I20220902001375 |
| Provider Name | Chinyere E Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366093270 PECOS PAC ID: 3274919212 Enrollment ID: I20220929000142 |
| Provider Name | Kristen Yakira Sealey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942785589 PECOS PAC ID: 0547646432 Enrollment ID: I20220929002263 |
| Provider Name | Jonathan C Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982356812 PECOS PAC ID: 7618343823 Enrollment ID: I20221012003996 |
| Provider Name | Carla E Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225781859 PECOS PAC ID: 2769859941 Enrollment ID: I20221031002935 |
| Provider Name | Angela M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265670160 PECOS PAC ID: 4486021664 Enrollment ID: I20221031003006 |
| Provider Name | Amy K Underwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386783918 PECOS PAC ID: 1759557705 Enrollment ID: I20221108000485 |
| Provider Name | Joann Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053630806 PECOS PAC ID: 5890966642 Enrollment ID: I20221209001664 |
| Provider Name | Alexa Elizabeth Roseman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548730989 PECOS PAC ID: 1951770155 Enrollment ID: I20221209002793 |
| Provider Name | Jeleesha Nina Mcnair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336604289 PECOS PAC ID: 6901276435 Enrollment ID: I20221228000720 |
| Provider Name | Katelyn M Totten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871167585 PECOS PAC ID: 2264803873 Enrollment ID: I20230118002140 |
| Provider Name | Latoya Chermese Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326560798 PECOS PAC ID: 8123490927 Enrollment ID: I20230203001310 |
| Provider Name | Melissa M Curtiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053977140 PECOS PAC ID: 1759755135 Enrollment ID: I20230327000999 |
| Provider Name | Christy J Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346852845 PECOS PAC ID: 6103282421 Enrollment ID: I20230511001763 |
| Provider Name | Dorian M White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124445796 PECOS PAC ID: 0547631335 Enrollment ID: I20230526001495 |
| Provider Name | Janelle Gillis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184106502 PECOS PAC ID: 3779940465 Enrollment ID: I20230612002462 |
| Provider Name | Carlisa Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245844208 PECOS PAC ID: 7719346428 Enrollment ID: I20230628003308 |
| Provider Name | Mckenzie Ot Muse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326731449 PECOS PAC ID: 5698135564 Enrollment ID: I20230724003662 |
| Provider Name | Alison L Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679233738 PECOS PAC ID: 7113388075 Enrollment ID: I20230725003962 |
| Provider Name | Marla P Lepley-starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275227969 PECOS PAC ID: 2466815998 Enrollment ID: I20230830003132 |
| Provider Name | Terry J Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578241048 PECOS PAC ID: 1052765757 Enrollment ID: I20230928004076 |
| Provider Name | Candice N Fewell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255637138 PECOS PAC ID: 2668820796 Enrollment ID: I20231129002292 |
| Provider Name | Chester P Hairston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831312420 PECOS PAC ID: 4587012620 Enrollment ID: I20231129002761 |
| Provider Name | Allissa Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568757557 PECOS PAC ID: 7911355052 Enrollment ID: I20231129002876 |
| Provider Name | Avis C Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679824569 PECOS PAC ID: 6002264157 Enrollment ID: I20231129002943 |
| Provider Name | Colin M Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528127404 PECOS PAC ID: 2365890415 Enrollment ID: I20231129002966 |
| Provider Name | Brian T Posey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598835928 PECOS PAC ID: 4981052032 Enrollment ID: I20231129003014 |
| Provider Name | Amanda G Connelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013170885 PECOS PAC ID: 1153779202 Enrollment ID: I20231129003051 |
| Provider Name | Natasha S Hjorth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467850685 PECOS PAC ID: 0840649216 Enrollment ID: I20231211001419 |
| Provider Name | Marlon B Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740720663 PECOS PAC ID: 8022467406 Enrollment ID: I20231211001798 |
| Provider Name | Mary B Locklear Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659643559 PECOS PAC ID: 5193174589 Enrollment ID: I20231211001890 |
| Provider Name | Loretta H Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982939468 PECOS PAC ID: 8123477510 Enrollment ID: I20231211002194 |
| Provider Name | James Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366688780 PECOS PAC ID: 7618326976 Enrollment ID: I20231212001331 |
| Provider Name | Elizabeth Gainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831742410 PECOS PAC ID: 4183073455 Enrollment ID: I20231212001707 |
| Provider Name | Evan Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174868848 PECOS PAC ID: 9931558202 Enrollment ID: I20231212001933 |
| Provider Name | James Jernigan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396132171 PECOS PAC ID: 6002265386 Enrollment ID: I20231212002104 |
| Provider Name | Tashea R Cheeks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851771299 PECOS PAC ID: 5799134839 Enrollment ID: I20231214000460 |
| Provider Name | Tonya Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689144008 PECOS PAC ID: 5597114637 Enrollment ID: I20231214000542 |
| Provider Name | Jamila T Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710902291 PECOS PAC ID: 7012923766 Enrollment ID: I20231215000993 |
| Provider Name | James P Dion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083124317 PECOS PAC ID: 8224488812 Enrollment ID: I20231222000085 |
| Provider Name | Jeffrey C Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598177248 PECOS PAC ID: 0547610990 Enrollment ID: I20231227000966 |
| Provider Name | Donielle J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396288809 PECOS PAC ID: 4789034158 Enrollment ID: I20231227001890 |
| Provider Name | Dawn B Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275317984 PECOS PAC ID: 3870943103 Enrollment ID: I20231228000929 |
| Provider Name | Kimberly S Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063699437 PECOS PAC ID: 6103276191 Enrollment ID: I20240103003155 |
| Provider Name | Theresa G Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326248790 PECOS PAC ID: 9537510516 Enrollment ID: I20240104001762 |
| Provider Name | Rebecca D Mattingly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154675031 PECOS PAC ID: 9931550787 Enrollment ID: I20240105003466 |
| Provider Name | Sarita M Favers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851589956 PECOS PAC ID: 2961845540 Enrollment ID: I20240212000281 |
| Provider Name | Shevonna A. Jett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639657083 PECOS PAC ID: 7416391610 Enrollment ID: I20240215002268 |
| Provider Name | Evann Lavender |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1629661244 PECOS PAC ID: 0244675643 Enrollment ID: I20240226000719 |
| Provider Name | Wanda V Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154607901 PECOS PAC ID: 8527405646 Enrollment ID: I20240326000402 |
| Provider Name | Kathryn F Wilkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912419912 PECOS PAC ID: 3375981285 Enrollment ID: I20240410002496 |
| Provider Name | Alicia Ricketts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821312653 PECOS PAC ID: 3678912862 Enrollment ID: I20240422000180 |
| Provider Name | Brandy R Carlton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083254270 PECOS PAC ID: 0143662981 Enrollment ID: I20240524002695 |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch 350 Pee Dee Ave, Suite 101, Albemarle, NC 28001-4932 Ph: (704) 986-1500 | Monarch 350 Pee Dee Ave, Suite 101, Albemarle, NC 28001-4932 Ph: (704) 986-1500 |