| Bjc Behavioral Health | |
|
1085 Maple St Farmington MO 63640-1955 | |
| (573) 756-5353 | |
| Not Available |
| Full Name | Bjc Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1085 Maple St, Farmington, Missouri |
| Authorized Official Name and Position | Angela Martin-davis (PRESIDENT) |
| Authorized Official Contact | 3142063712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bjc Behavioral Health 3309 S Kingshighway Blvd Saint Louis MO 63139-1101 Ph: (314) 206-3700 | Bjc Behavioral Health 1085 Maple St Farmington MO 63640-1955 Ph: (573) 756-5353 |
| NPI Number | 1801807847 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 1153225271 |
|---|---|
| Medicare Enrollment ID | O20040414000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801807847 | NPI | - | NPPES |
| 154902019 | Medicaid | MO | |
| 876175803 | Medicaid | MO | |
| 154902001 | Medicaid | MO | |
| 7107617 | Other | MO DEPT OF MENTAL HEALTH | |
| 876175811 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 267-7258 (Missouri) | Primary |
| Provider Name | Veera N Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336257237 PECOS PAC ID: 1557256583 Enrollment ID: I20040218000955 |
| Provider Name | Denise Troy Curry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891786406 PECOS PAC ID: 2567538325 Enrollment ID: I20080903000253 |
| Provider Name | Christina A Rariden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881854354 PECOS PAC ID: 1254490568 Enrollment ID: I20081031000203 |
| Provider Name | Donald D Bohnenkamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316139116 PECOS PAC ID: 4082892740 Enrollment ID: I20110628000326 |
| Provider Name | Akinkunle Owoso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063610319 PECOS PAC ID: 7012186281 Enrollment ID: I20110803000805 |
| Provider Name | Christina G Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427217116 PECOS PAC ID: 7618044231 Enrollment ID: I20120124000896 |
| Provider Name | Subhash Bashyal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811126337 PECOS PAC ID: 9537393004 Enrollment ID: I20131016001436 |
| Provider Name | Kelly E Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447273933 PECOS PAC ID: 9234102856 Enrollment ID: I20180719003033 |
| Provider Name | Amy L Salzer Bothmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376787192 PECOS PAC ID: 3870835010 Enrollment ID: I20190508002071 |
| Provider Name | Celsius-kit Gesmundo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558654053 PECOS PAC ID: 0941513626 Enrollment ID: I20190517000634 |
| Provider Name | Amy M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851936736 PECOS PAC ID: 4688008303 Enrollment ID: I20200103002410 |
| Provider Name | Tammy Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770672495 PECOS PAC ID: 8426476359 Enrollment ID: I20200909002727 |
| Provider Name | Oliver J Yost |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629160478 PECOS PAC ID: 8628170743 Enrollment ID: I20211109001493 |
| Provider Name | Nancy Gale Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285301721 PECOS PAC ID: 1052717667 Enrollment ID: I20220802000927 |
| Provider Name | Sofia Y Daneshyar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306509492 PECOS PAC ID: 2062863046 Enrollment ID: I20240104001472 |
| Provider Name | Courtney Winters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841823689 PECOS PAC ID: 6709221013 Enrollment ID: I20240227000688 |
| Provider Name | Kelly J Brotherton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740294750 PECOS PAC ID: 8022453349 Enrollment ID: I20240227000906 |
Southeast Missouri Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Hwy 32, Farmington, MO 63640 Phone: 573-756-5749 Fax: 573-431-5205 | |
Womack Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 503 Potosi St, Farmington, MO 63640 Phone: 573-756-1602 Fax: 573-756-1603 | |
Bjc Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple Street, Farmington, MO 63640 Phone: 573-756-5353 Fax: 573-756-4557 | |
Templar Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E Columbia St Ste B9, Farmington, MO 63640 Phone: 573-953-3005 Fax: 844-458-8348 | |
T-k Ranch Equine Assisted Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17885 Hart Pinkston Rd, Farmington, MO 63640 Phone: 573-747-9115 Fax: 855-209-5615 | |
Bjc Behavioral Southeast Pharmacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
Bjc Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 Fax: 573-756-4557 |