| Am Behavioral Outpatient Llc | |
|
6210 Bellefontaine Rd Huber Heights OH 45424-4009 | |
| (937) 236-1800 | |
| (937) 237-1312 |
| Full Name | Am Behavioral Outpatient Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6210 Bellefontaine Rd, Huber Heights, Ohio |
| Authorized Official Name and Position | Rachel Costello (ADMINISTRATOR) |
| Authorized Official Contact | 9372311838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Am Behavioral Outpatient Llc 6210 Bellefontaine Rd Huber Heights OH 45424-4009 Ph: (937) 236-1800 | Am Behavioral Outpatient Llc 6210 Bellefontaine Rd Huber Heights OH 45424-4009 Ph: (937) 236-1800 |
| NPI Number | 1528759651 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Medicare PECOS PAC ID | 4284083411 |
|---|---|
| Medicare Enrollment ID | O20231213000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528759651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amarjeet S Birdi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023046190 PECOS PAC ID: 5799819777 Enrollment ID: I20100812000356 |
| Provider Name | Rebecca J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346594124 PECOS PAC ID: 0143631051 Enrollment ID: I20201125001744 |
| Provider Name | Cindy Opoku-antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759111 PECOS PAC ID: 9638568892 Enrollment ID: I20211110001627 |
| Provider Name | Antoinette Tegtmeier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164055794 PECOS PAC ID: 6204298011 Enrollment ID: I20230810002588 |
| Provider Name | Casey Bower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629590526 PECOS PAC ID: 2264838838 Enrollment ID: I20240201001246 |
| Provider Name | Rachel E Costello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396208492 PECOS PAC ID: 3678726437 Enrollment ID: I20240325002423 |
| Provider Name | Kahlin A Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083020259 PECOS PAC ID: 9830639665 Enrollment ID: I20240909000401 |
| Provider Name | Trevor Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417785841 PECOS PAC ID: 5991246050 Enrollment ID: I20240917003632 |
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