| Butler Behavioral Health Services, Inc. | |
|
1490 University Blvd Hamilton OH 45011-3315 | |
| (513) 881-7189 | |
| (513) 881-7188 |
| Full Name | Butler Behavioral Health Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1490 University Blvd, Hamilton, Ohio |
| Authorized Official Name and Position | Michelle Rasp (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 5138817189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler Behavioral Health Services, Inc. 1490 University Blvd. Hamilton OH 45011-3305 Ph: (513) 881-7189 | Butler Behavioral Health Services, Inc. 1490 University Blvd Hamilton OH 45011-3315 Ph: (513) 881-7189 |
| NPI Number | 1053377184 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 07/01/2019 |
| Medicare PECOS PAC ID | 9537061742 |
|---|---|
| Medicare Enrollment ID | O20040127000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053377184 | NPI | - | NPPES |
| 0200928 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Michael T Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215001128 PECOS PAC ID: 0840247524 Enrollment ID: I20050405000598 |
| Provider Name | Charmaine A Wagner-bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013063320 PECOS PAC ID: 9436197589 Enrollment ID: I20050420000377 |
| Provider Name | Paulette M Gillig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891762845 PECOS PAC ID: 0547292872 Enrollment ID: I20050907000697 |
| Provider Name | Debra A Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407043169 PECOS PAC ID: 5799822755 Enrollment ID: I20091022000759 |
| Provider Name | Wendy Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801219357 PECOS PAC ID: 5799007951 Enrollment ID: I20141125002351 |
| Provider Name | Daniel R Weis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811967672 PECOS PAC ID: 8224350657 Enrollment ID: I20141213000254 |
| Provider Name | Marnie D Levine-einfeldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518397538 PECOS PAC ID: 8628354149 Enrollment ID: I20170418002573 |
| Provider Name | Shawntae Marie Romanello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922531631 PECOS PAC ID: 0143596486 Enrollment ID: I20171101000286 |
| Provider Name | Katherine S Mclain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760815278 PECOS PAC ID: 3173879707 Enrollment ID: I20180711003001 |
| Provider Name | Michelle Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699291534 PECOS PAC ID: 5991051484 Enrollment ID: I20180713002286 |
| Provider Name | Angela M Gutowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225517444 PECOS PAC ID: 9436401254 Enrollment ID: I20181005001752 |
| Provider Name | Katherine Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083127351 PECOS PAC ID: 3577983014 Enrollment ID: I20201021002682 |
| Provider Name | Joseph Surace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427464916 PECOS PAC ID: 1557761665 Enrollment ID: I20210610003315 |
| Provider Name | Tracy S. Siemer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306332507 PECOS PAC ID: 6406240886 Enrollment ID: I20220301000947 |
| Provider Name | Ellise Kathryn Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548770415 PECOS PAC ID: 3476931387 Enrollment ID: I20220606001904 |
| Provider Name | Erica Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154934909 PECOS PAC ID: 5496129033 Enrollment ID: I20230321002409 |
| Provider Name | Jason Paul Manter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356862098 PECOS PAC ID: 9436503976 Enrollment ID: I20231002002596 |
| Provider Name | Marcus Andrew Guenther |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083846083 PECOS PAC ID: 3971955717 Enrollment ID: I20240117003848 |
| Provider Name | Demelza Victoria Stoudt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629373683 PECOS PAC ID: 0345693503 Enrollment ID: I20240124003317 |
| Provider Name | Caitlyn Mariah Quinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316478787 PECOS PAC ID: 7719330992 Enrollment ID: I20240124003985 |
| Provider Name | David J Sweeting |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285080275 PECOS PAC ID: 4587017835 Enrollment ID: I20240202000468 |
| Provider Name | Maureen E Annable |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912335241 PECOS PAC ID: 8224471040 Enrollment ID: I20240208003209 |
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The Fort Hamilton Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Eaton Avenue, Hamilton, OH 45013 Phone: 513-585-8069 | |
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Butler Behavioral Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-881-7189 Fax: 513-881-7188 |