Diane F Mittelhauser, PSYD | |
335 N River St Ste 210, Batavia, IL 60510-2386 | |
(630) 879-8164 | |
(630) 879-6806 |
Full Name | Diane F Mittelhauser |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 335 N River St Ste 210, Batavia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497815617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071004901 (Illinois) | Primary |
Entity Name | Prairie Psychotherapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497067292 PECOS PAC ID: 6709239387 Enrollment ID: O20240131000332 |
Mailing Address | Practice Location Address |
---|---|
Diane F Mittelhauser, PSYD 335 N River St Ste 210, Batavia, IL 60510-2386 Ph: (630) 879-8164 | Diane F Mittelhauser, PSYD 335 N River St Ste 210, Batavia, IL 60510-2386 Ph: (630) 879-8164 |
Rebekah Lea Pershing, MD- PHYCHOLOGY Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2500 W Fabyan Pkwy, Batavia, IL 60510 Phone: 630-879-2110 | |
Dr. Agoritsa Renee Barczak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 757 E Fabyan Pkwy, Batavia, IL 60510 Phone: 630-444-1085 Fax: 630-262-4484 | |
Dr. Dianne L Grande, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 335 N River St, Suite 210, Batavia, IL 60510 Phone: 630-406-5493 Fax: 630-879-6806 | |
Dr. Alexandra Anna Tsang, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 757 E Fabyan Pkwy, Batavia, IL 60510 Phone: 630-262-4480 Fax: 630-262-4484 | |
Dr. Melissa Geraghty, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 731 Maves Dr, Batavia, IL 60510 Phone: 630-328-9419 | |
Dr. Brian W. Rooney, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 335 N River St, Suite 210, Batavia, IL 60510 Phone: 630-879-8175 Fax: 630-879-6806 |