| Samaritan Crisiscare | |
|
601 S Edwin C Moses Blvd First Floor, Nw Building Dayton OH 45417-3424 | |
| (937) 224-1694 | |
| (937) 224-1625 |
| Full Name | Samaritan Crisiscare |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 S Edwin C Moses Blvd, Dayton, Ohio |
| Authorized Official Name and Position | Tabatha L Masters (BILLING) |
| Authorized Official Contact | 9377344334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Crisiscare 601 S Edwin C Moses Blvd Dayton OH 45417-3424 Ph: (937) 734-4334 | Samaritan Crisiscare 601 S Edwin C Moses Blvd First Floor, Nw Building Dayton OH 45417-3424 Ph: (937) 224-1694 |
| NPI Number | 1205888641 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 0244148625 |
|---|---|
| Medicare Enrollment ID | O20101007000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205888641 | NPI | - | NPPES |
| 2876697 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 503, 11127 (Ohio) | Primary |
| Provider Name | Luis A Tellez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174557169 PECOS PAC ID: 9436142569 Enrollment ID: I20040406000037 |
| Provider Name | Bertilia M Toca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457339582 PECOS PAC ID: 2466403324 Enrollment ID: I20050208000692 |
| Provider Name | Sehba N Siddiqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316064686 PECOS PAC ID: 0042262578 Enrollment ID: I20050214000168 |
| Provider Name | Philip S Whitecar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174504617 PECOS PAC ID: 9638199623 Enrollment ID: I20051206000494 |
| Provider Name | Katherine E L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972651081 PECOS PAC ID: 0244244309 Enrollment ID: I20060127000809 |
| Provider Name | Frederic Leeds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902875347 PECOS PAC ID: 4880601087 Enrollment ID: I20060314000003 |
| Provider Name | Stephanie E Ackner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285734566 PECOS PAC ID: 6103821822 Enrollment ID: I20061002000081 |
| Provider Name | Nancy Jeanne Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154343747 PECOS PAC ID: 2769403807 Enrollment ID: I20070613000824 |
| Provider Name | Ellen W Ballerene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174517924 PECOS PAC ID: 5799873659 Enrollment ID: I20071112000145 |
| Provider Name | Anessa R Gilbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821246919 PECOS PAC ID: 7719054717 Enrollment ID: I20080917000131 |
| Provider Name | Carole A Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851436851 PECOS PAC ID: 1153475660 Enrollment ID: I20090819000004 |
| Provider Name | Leslie Rae Dye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679702294 PECOS PAC ID: 6406998632 Enrollment ID: I20100126000368 |
| Provider Name | Lisa Collier Kellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982745675 PECOS PAC ID: 4183610009 Enrollment ID: I20100819000967 |
| Provider Name | Marjorie Lynn Loving |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477546364 PECOS PAC ID: 3577648112 Enrollment ID: I20101130000712 |
| Provider Name | Danielle M Gainer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508043639 PECOS PAC ID: 1456520154 Enrollment ID: I20110815000763 |
| Provider Name | Elisabeth Righter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851373286 PECOS PAC ID: 0042301517 Enrollment ID: I20120105000733 |
| Provider Name | Natalie Lester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770621484 PECOS PAC ID: 6800089285 Enrollment ID: I20120822000703 |
| Provider Name | Ryan Christopher Mast |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376714675 PECOS PAC ID: 9931357092 Enrollment ID: I20120913000793 |
| Provider Name | Joy L Witwer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629321005 PECOS PAC ID: 6507018041 Enrollment ID: I20121210000301 |
| Provider Name | Keshia Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568706307 PECOS PAC ID: 0648416339 Enrollment ID: I20130425000299 |
| Provider Name | Brian M Merrill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225321144 PECOS PAC ID: 4981840683 Enrollment ID: I20150616003002 |
| Provider Name | Toni R Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770953291 PECOS PAC ID: 6608170758 Enrollment ID: I20160210000474 |
| Provider Name | Curtis B Everson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942203377 PECOS PAC ID: 5496729451 Enrollment ID: I20160222002493 |
| Provider Name | Amy Beth Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316919137 PECOS PAC ID: 3375810476 Enrollment ID: I20170519002240 |
| Provider Name | Lori Mosconi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851812473 PECOS PAC ID: 7810260726 Enrollment ID: I20170828004646 |
| Provider Name | Scott Alan Beidelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083988893 PECOS PAC ID: 9436423373 Enrollment ID: I20170915002949 |
| Provider Name | April R Sperry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114422458 PECOS PAC ID: 0749538346 Enrollment ID: I20181004000063 |
| Provider Name | Kari S Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538579768 PECOS PAC ID: 0648492678 Enrollment ID: I20190501002857 |
| Provider Name | Destry East |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356796502 PECOS PAC ID: 9638458979 Enrollment ID: I20190724000155 |
| Provider Name | Ruth A Mckowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952859019 PECOS PAC ID: 0648609859 Enrollment ID: I20200408003633 |
| Provider Name | Linlin Xiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871133181 PECOS PAC ID: 9931529625 Enrollment ID: I20201019002382 |
| Provider Name | Michael Villasin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710482963 PECOS PAC ID: 6709140213 Enrollment ID: I20201208003041 |
| Provider Name | Jenna J Branam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083229751 PECOS PAC ID: 2466860366 Enrollment ID: I20210414000162 |
| Provider Name | Amanda Danielle Boykin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965642 PECOS PAC ID: 5991107872 Enrollment ID: I20210714003739 |
| Provider Name | Marshal E Ash |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1255829719 PECOS PAC ID: 9234487430 Enrollment ID: I20210913000943 |
| Provider Name | Jeremiah Schumm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962685669 PECOS PAC ID: 9234535329 Enrollment ID: I20210915002588 |
| Provider Name | Melissa Grote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484131 PECOS PAC ID: 8527465707 Enrollment ID: I20210930003132 |
| Provider Name | Kristyn Funner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861051856 PECOS PAC ID: 7416345681 Enrollment ID: I20211021001285 |
| Provider Name | Melissa D Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538785431 PECOS PAC ID: 4082008982 Enrollment ID: I20220217002664 |
| Provider Name | Megan A Cales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821659806 PECOS PAC ID: 7618354960 Enrollment ID: I20220506001937 |
| Provider Name | Christina Michelle Halpin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316451982 PECOS PAC ID: 4880070754 Enrollment ID: I20220929001552 |
| Provider Name | Susan Carolyn Nahhas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235878489 PECOS PAC ID: 5395111819 Enrollment ID: I20230503002731 |
| Provider Name | Amanda A Reimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386148179 PECOS PAC ID: 1658738406 Enrollment ID: I20230609000117 |
| Provider Name | Kathryn Grace Wynne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699241430 PECOS PAC ID: 5597122242 Enrollment ID: I20230612001322 |
| Provider Name | Shelby Stradling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548969728 PECOS PAC ID: 5991164824 Enrollment ID: I20230710002357 |
| Provider Name | Nicholine Orock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972267110 PECOS PAC ID: 0042671455 Enrollment ID: I20230802000326 |
| Provider Name | Karen Lacroix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003512419 PECOS PAC ID: 5092177857 Enrollment ID: I20230811000718 |
| Provider Name | Rachel E Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205257482 PECOS PAC ID: 2062642283 Enrollment ID: I20230823004221 |
| Provider Name | Daniel Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396888269 PECOS PAC ID: 8022448752 Enrollment ID: I20231002001541 |
| Provider Name | Larrilyn Grant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841796943 PECOS PAC ID: 5395090450 Enrollment ID: I20231025000518 |
| Provider Name | Lindsay Bone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083187710 PECOS PAC ID: 7416303078 Enrollment ID: I20231102001719 |
| Provider Name | Kevin Lee Boblitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528055514 PECOS PAC ID: 1456701630 Enrollment ID: I20231229002703 |
| Provider Name | Jaime Aaron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003347733 PECOS PAC ID: 3072963016 Enrollment ID: I20240103001222 |
| Provider Name | Sarah Byram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003327503 PECOS PAC ID: 8426409335 Enrollment ID: I20240104003025 |
| Provider Name | Amy Binkley-dils |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770094278 PECOS PAC ID: 5890146716 Enrollment ID: I20240104003400 |
| Provider Name | Danielle N Lange |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508238346 PECOS PAC ID: 3779934591 Enrollment ID: I20240105002564 |
| Provider Name | Marnie Lynn Masten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457753279 PECOS PAC ID: 6002267572 Enrollment ID: I20240109002384 |
| Provider Name | Nicole C Duff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750775110 PECOS PAC ID: 5496106999 Enrollment ID: I20240109003435 |
| Provider Name | James W Hayford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235640731 PECOS PAC ID: 0547611063 Enrollment ID: I20240109004465 |
| Provider Name | Briana M Troutwine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033620471 PECOS PAC ID: 1557712866 Enrollment ID: I20240111001937 |
| Provider Name | Heather R Goudy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295348514 PECOS PAC ID: 0042662926 Enrollment ID: I20240116003149 |
| Provider Name | Sara R Aviles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457620155 PECOS PAC ID: 6901258474 Enrollment ID: I20240119002926 |
| Provider Name | Diana K Spieles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811134307 PECOS PAC ID: 9032561337 Enrollment ID: I20240123002132 |
| Provider Name | Bonnie Sliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013459346 PECOS PAC ID: 8527410745 Enrollment ID: I20240123003115 |
| Provider Name | Nancy A Horn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649414947 PECOS PAC ID: 1951753185 Enrollment ID: I20240123003652 |
| Provider Name | Jaclyn E Penny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932610748 PECOS PAC ID: 4880046036 Enrollment ID: I20240123004366 |
| Provider Name | Teresa S Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174916951 PECOS PAC ID: 6507219755 Enrollment ID: I20240124003044 |
| Provider Name | Quinta T Tambe-ebot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275079584 PECOS PAC ID: 4880047976 Enrollment ID: I20240124004493 |
| Provider Name | Thomas A Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609010099 PECOS PAC ID: 4688027519 Enrollment ID: I20240126003885 |
| Provider Name | Christina J Mortsolf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275036956 PECOS PAC ID: 5890148746 Enrollment ID: I20240127000389 |
| Provider Name | Lindsey D Bicknell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457556573 PECOS PAC ID: 2961878392 Enrollment ID: I20240129000704 |
| Provider Name | Elizabeth E Boblitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457692808 PECOS PAC ID: 7719320506 Enrollment ID: I20240208002598 |
| Provider Name | Wendy Franck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952471666 PECOS PAC ID: 4183067903 Enrollment ID: I20240208003404 |
| Provider Name | Doris Omari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376102632 PECOS PAC ID: 1850735259 Enrollment ID: I20240213004079 |
| Provider Name | Karen S Zechar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568910842 PECOS PAC ID: 6406290576 Enrollment ID: I20240216000454 |
| Provider Name | Angela Okan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588102719 PECOS PAC ID: 4183068224 Enrollment ID: I20240216003069 |
| Provider Name | Cynthia L Treasure |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740466382 PECOS PAC ID: 3173967130 Enrollment ID: I20240216004196 |
| Provider Name | Kelsey Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609395953 PECOS PAC ID: 3678917341 Enrollment ID: I20240221001842 |
| Provider Name | Elizabeth A Roode |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679827489 PECOS PAC ID: 0648617571 Enrollment ID: I20240327000611 |
| Provider Name | Helena Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114564184 PECOS PAC ID: 1153769575 Enrollment ID: I20240404002143 |
| Provider Name | Juliana L Barlowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225398548 PECOS PAC ID: 1557700820 Enrollment ID: I20240418004173 |
| Provider Name | Hunter Charwood Tomlinson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538658927 PECOS PAC ID: 0345693271 Enrollment ID: I20240507000057 |
| Provider Name | Brody Scott Rike |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336744499 PECOS PAC ID: 2264873017 Enrollment ID: I20240511000314 |
Kenvic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elizabeth Pl, Sixth Floor, Dayton, OH 45408 Phone: 937-222-5963 | |
Woodcroft Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Indian Ripple Rd, Suite 210, Dayton, OH 45440 Phone: 937-427-9202 Fax: 937-427-9671 | |
Digestive Endoscopy Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4340 Clyo Rd Ste 100, Dayton, OH 45459 Phone: 937-534-7330 Fax: 937-297-2208 | |
Charles Drew Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1323 W 3rd St, Dayton, OH 45402 Phone: 937-586-9733 Fax: 937-461-9698 | |
Infectious Disease Physicians Of Dayton Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St, Infusion Services, Dayton, OH 45415 Phone: 937-279-5803 Fax: 937-279-5873 | |
Specialty Medicine Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459 Phone: 937-429-0607 | |
Glenda Lopez-blaza Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8710 N Dixie Dr, Dayton, OH 45414 Phone: 937-415-0501 Fax: 937-415-0520 |