| Caremed Mind Health Llc | |
|
4719 Highway 90 Marianna FL 32446-7839 | |
| (850) 526-3314 | |
| (850) 526-5022 |
| Full Name | Caremed Mind Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4719 Highway 90, Marianna, Florida |
| Authorized Official Name and Position | Murali Maddipati (OWNER) |
| Authorized Official Contact | 8505263314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremed Mind Health Llc 4719 Highway 90 Marianna FL 32446-7839 Ph: (850) 526-3314 | Caremed Mind Health Llc 4719 Highway 90 Marianna FL 32446-7839 Ph: (850) 526-3314 |
| NPI Number | 1922749399 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Medicare PECOS PAC ID | 8921489402 |
|---|---|
| Medicare Enrollment ID | O20220714002052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922749399 | NPI | - | NPPES |
| Provider Name | Jennifer Ethel Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255965919 PECOS PAC ID: 5597189456 Enrollment ID: I20200724000411 |
| Provider Name | Diane Vendryes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871769596 PECOS PAC ID: 8527284405 Enrollment ID: I20210602002280 |
| Provider Name | Srikanth Challagundla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902186737 PECOS PAC ID: 0446572796 Enrollment ID: I20210924002949 |
| Provider Name | Dinesh Karumanchi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629160890 PECOS PAC ID: 3375515554 Enrollment ID: I20230405001076 |
| Provider Name | Muhammad Numaan Imam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407571391 PECOS PAC ID: 9133577794 Enrollment ID: I20231121001828 |
| Provider Name | April Ingram Chapel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679226716 PECOS PAC ID: 3678921012 Enrollment ID: I20231127001023 |
| Provider Name | Jonathan Rollins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053980730 PECOS PAC ID: 4385098045 Enrollment ID: I20231214003519 |
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