| Pinnacle Healthy Mind Providers, Llc | |
|
4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 | |
| (330) 754-4431 | |
| (330) 244-8839 |
| Full Name | Pinnacle Healthy Mind Providers, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4580 Stephens Cir Nw Ste 202, Canton, Ohio |
| Authorized Official Name and Position | Brian Mcclain (CEO) |
| Authorized Official Contact | 3307544431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Healthy Mind Providers, Llc 4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 Ph: (330) 754-4431 | Pinnacle Healthy Mind Providers, Llc 4580 Stephens Cir Nw Ste 202 Canton OH 44718-3645 Ph: (330) 754-4431 |
| NPI Number | 1366224503 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 8921448309 |
|---|---|
| Medicare Enrollment ID | O20240502000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366224503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jennifer Jonell Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609407881 PECOS PAC ID: 0648408369 Enrollment ID: I20200225003015 |
| Provider Name | Julie Angel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730727215 PECOS PAC ID: 8426470469 Enrollment ID: I20200622001444 |
| Provider Name | Deborah S Swinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396305090 PECOS PAC ID: 9931518792 Enrollment ID: I20210506002001 |
| Provider Name | Rachel Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629795158 PECOS PAC ID: 5496123010 Enrollment ID: I20221201001486 |
| Provider Name | Jaymi Renee Doerfler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962184697 PECOS PAC ID: 5890140503 Enrollment ID: I20231016003264 |
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