| Colonial Behavioral Health | |
|
1657 Merrimac Trail Williamsburg VA 23185 | |
| (757) 220-3200 | |
| (757) 253-4311 |
| Full Name | Colonial Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1657 Merrimac Trail, Williamsburg, Virginia |
| Authorized Official Name and Position | David A. Coe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7572534158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Behavioral Health 1657 Merrimac Trail Williamsburg VA 23185 Ph: (757) 220-3200 | Colonial Behavioral Health 1657 Merrimac Trail Williamsburg VA 23185 Ph: (757) 220-3200 |
| NPI Number | 1760565915 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 06/20/2011 |
| Medicare PECOS PAC ID | 7012010549 |
|---|---|
| Medicare Enrollment ID | O20070716000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760565915 | NPI | - | NPPES |
| 004945301 | Medicaid | VA | |
| C00982 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Syed Z Ahsan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033202999 PECOS PAC ID: 5799676078 Enrollment ID: I20040805000737 |
| Provider Name | Barbara J Trandel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053328633 PECOS PAC ID: 8426099169 Enrollment ID: I20050512000806 |
| Provider Name | Alfonso Lopez Cardona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649201328 PECOS PAC ID: 3577570654 Enrollment ID: I20060314000742 |
| Provider Name | Daniele A Longo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538105416 PECOS PAC ID: 8527061472 Enrollment ID: I20060814000316 |
| Provider Name | Baljit Singh Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356303366 PECOS PAC ID: 7810097896 Enrollment ID: I20070703000675 |
| Provider Name | Michael Lowry Dougan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1063470813 PECOS PAC ID: 1557354271 Enrollment ID: I20110321000005 |
| Provider Name | Deborah Elder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164762365 PECOS PAC ID: 5597905026 Enrollment ID: I20130705000416 |
| Provider Name | Nadia D Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114473816 PECOS PAC ID: 2466736152 Enrollment ID: I20170223002318 |
| Provider Name | Antoinette Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134637341 PECOS PAC ID: 0648518456 Enrollment ID: I20190220001395 |
| Provider Name | Jacqueline A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287999 PECOS PAC ID: 4981026598 Enrollment ID: I20200626000260 |
| Provider Name | Kimberly Waine Gore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700485927 PECOS PAC ID: 1153734728 Enrollment ID: I20201229001391 |
| Provider Name | Teresa Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184377681 PECOS PAC ID: 2163889684 Enrollment ID: I20230526001863 |
| Provider Name | Nadezhda Vladagina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093183741 PECOS PAC ID: 7315392966 Enrollment ID: I20231017002027 |
| Provider Name | Philippa Matheson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306395074 PECOS PAC ID: 1658720693 Enrollment ID: I20231215000658 |
| Provider Name | Stephanie Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871214015 PECOS PAC ID: 5991154833 Enrollment ID: I20231218001464 |
| Provider Name | John Brumfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922135540 PECOS PAC ID: 9032568977 Enrollment ID: I20231218001577 |
| Provider Name | Hank R Crofford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871188730 PECOS PAC ID: 7214386184 Enrollment ID: I20231218002769 |
| Provider Name | Hillary S Zaneveld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023080918 PECOS PAC ID: 3779932652 Enrollment ID: I20231218003196 |
| Provider Name | Barbara Andrieu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679719157 PECOS PAC ID: 6103276043 Enrollment ID: I20231219001399 |
| Provider Name | Janice Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932687142 PECOS PAC ID: 9436509387 Enrollment ID: I20231219002010 |
| Provider Name | Bjork Jonasdottir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619670882 PECOS PAC ID: 7315397270 Enrollment ID: I20231219002150 |
| Provider Name | Kisha Mickens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447933973 PECOS PAC ID: 9133579014 Enrollment ID: I20231219003047 |
| Provider Name | Anita Burgess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912194010 PECOS PAC ID: 2365892106 Enrollment ID: I20231220001683 |
| Provider Name | Casandra L Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790239200 PECOS PAC ID: 1951744853 Enrollment ID: I20240207003952 |
Adr Clinical Associates, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1309 Jamestown Rd, Ste. 101, Williamsburg, VA 23185 Phone: 757-220-8800 Fax: 757-220-8811 | |
Beacon Counseling And Consulting Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Mclaws Circle, Suite 2, Williamsburg, VA 23011 Phone: 757-564-3100 Fax: 757-564-3500 | |
Institute For Psychological & Health Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5388 Discovery Park Blvd, Suite 110 A, Williamsburg, VA 23188 Phone: 757-903-5752 | |
The Pavilion At Williamsburg Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5483 Mooretown Rd, Williamsburg, VA 23188 Phone: 757-941-6400 Fax: 757-941-6419 | |
A Meaningful Place Behavioral Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Oslo Ct, Williamsburg, VA 23188 Phone: 757-434-3242 | |
Notice That - Therapy & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Jamestown Rd Ste 101, Williamsburg, VA 23185 Phone: 757-719-4581 | |
Evolution Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4622 Rochambeau Dr, Williamsburg, VA 23188 Phone: 757-239-1462 |