| Community Behavioral Health, Inc. | |
|
820 S Martin Luther King Jr Blvd Hamilton OH 45011-3216 | |
| (513) 887-8500 | |
| (513) 737-8196 |
| Full Name | Community Behavioral Health, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 820 S Martin Luther King Jr Blvd, Hamilton, Ohio |
| Authorized Official Name and Position | Mark Zoellner (CFO) |
| Authorized Official Contact | 5137854742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavioral Health, Inc. 820 S. Martin Luther King, Jr. Blvd Hamilton OH 45011-3216 Ph: (513) 887-8500 | Community Behavioral Health, Inc. 820 S Martin Luther King Jr Blvd Hamilton OH 45011-3216 Ph: (513) 887-8500 |
| NPI Number | 1134365745 |
|---|---|
| Provider Enumeration Date | 01/02/2009 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Medicare PECOS PAC ID | 0143290726 |
|---|---|
| Medicare Enrollment ID | O20040729001591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134365745 | NPI | - | NPPES |
| 2846611 | Other | OH | CROSSOVER |
| Provider Name | Christine M Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013402213 PECOS PAC ID: 7911256086 Enrollment ID: I20180822002674 |
| Provider Name | Erin M Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211643 PECOS PAC ID: 3375872500 Enrollment ID: I20190912002015 |
| Provider Name | Randee J Mcardle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013415306 PECOS PAC ID: 5698191419 Enrollment ID: I20200811002639 |
| 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 | Thomas J Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992395016 PECOS PAC ID: 0143635672 Enrollment ID: I20210216001222 |
| Provider Name | Cheryl Bailey Salary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427269042 PECOS PAC ID: 7719039338 Enrollment ID: I20210405001692 |
| Provider Name | Emily Schubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619487931 PECOS PAC ID: 3577971274 Enrollment ID: I20210419001055 |
| Provider Name | Mary E Fricke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003365578 PECOS PAC ID: 6507265246 Enrollment ID: I20210528000981 |
| Provider Name | Erin N Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275909137 PECOS PAC ID: 4284013350 Enrollment ID: I20220620001773 |
| Provider Name | Lisa Connor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427295914 PECOS PAC ID: 0143665695 Enrollment ID: I20240223003938 |
| Provider Name | Colleen Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831629807 PECOS PAC ID: 0345685384 Enrollment ID: I20240229000220 |
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Iris A. Pfeffer&associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1499 Main St, Hamilton, OH 45013 Phone: 513-737-0545 Fax: 513-737-0545 | |
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