| Doctors Making Housecalls Psychiatric Medicine,pa | |
| 2511 Old Cornwallis Rd Suite 200 Durham NC 27713-1869 | |
| (919) 932-5700 | |
| (919) 933-6881 | 
| Full Name | Doctors Making Housecalls Psychiatric Medicine,pa | 
|---|---|
| Speciality | Psychiatry & Neurology | 
| Location | 2511 Old Cornwallis Rd, Durham, North Carolina | 
| Authorized Official Name and Position | Alan Kronhaus (MANAGER) | 
| Authorized Official Contact | 9199325700 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Doctors Making Housecalls Psychiatric Medicine,pa 2511 Old Cornwallis Rd Suite 200 Durham NC 27713-1869 Ph: (919) 932-5700 | Doctors Making Housecalls Psychiatric Medicine,pa 2511 Old Cornwallis Rd Suite 200 Durham NC 27713-1869 Ph: (919) 932-5700 | 
| NPI Number | 1518107325 | 
|---|---|
| Provider Enumeration Date | 03/06/2009 | 
| Last Update Date | 03/22/2013 | 
| Medicare PECOS PAC ID | 9537213186 | 
|---|---|
| Medicare Enrollment ID | O20090815000138 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518107325 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary | 
| Provider Name | Shannon A Tyler | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1316920432 PECOS PAC ID: 3476528555 Enrollment ID: I20040901000236 | 
| Provider Name | Fauzia F Shah | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1962507434 PECOS PAC ID: 2567439763 Enrollment ID: I20040916000411 | 
| Provider Name | Charles Dunham | 
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry | 
| Provider Identifiers | NPI Number: 1346268745 PECOS PAC ID: 6002906971 Enrollment ID: I20071214000657 | 
| Provider Name | Vivian Jill Lowery | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134111057 PECOS PAC ID: 0244390698 Enrollment ID: I20081115000151 | 
| Provider Name | Lucy M Chartier | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043403728 PECOS PAC ID: 8022166065 Enrollment ID: I20090501000269 | 
| Provider Name | Jennifer Lynn King | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1245381367 PECOS PAC ID: 0648396036 Enrollment ID: I20100922001051 | 
| Provider Name | James Arthur Disney | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1962603506 PECOS PAC ID: 8527237783 Enrollment ID: I20110804000758 | 
| Provider Name | Jennifer Marie Rucci | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1598811127 PECOS PAC ID: 2062589682 Enrollment ID: I20120125000589 | 
| Provider Name | Benedetto Palombo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255691150 PECOS PAC ID: 5294981171 Enrollment ID: I20120808000588 | 
| Provider Name | Donna O Brown | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1407283070 PECOS PAC ID: 1951537547 Enrollment ID: I20131204002037 | 
| Provider Name | Maria S Priest | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1508990383 PECOS PAC ID: 5991938359 Enrollment ID: I20140509000676 | 
| Provider Name | Thalia N Williams | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023301124 PECOS PAC ID: 5799904173 Enrollment ID: I20140917001033 | 
| Provider Name | Olga A Slepchenko | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1538558960 PECOS PAC ID: 9032421888 Enrollment ID: I20150707003313 | 
| Provider Name | Philip R Couch | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1215380035 PECOS PAC ID: 1355629726 Enrollment ID: I20161107000662 | 
| Provider Name | David Sherwood Rodgers | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1043559271 PECOS PAC ID: 0244515914 Enrollment ID: I20170320001275 | 
| Provider Name | Andrew Rutledge Alkis | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1568728327 PECOS PAC ID: 0345479119 Enrollment ID: I20171026002261 | 
| Provider Name | Funmilola Olukemi Akingbala | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1679085872 PECOS PAC ID: 6709148240 Enrollment ID: I20180322000429 | 
| Provider Name | Juanita Massol | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1659664324 PECOS PAC ID: 5698030203 Enrollment ID: I20180601001005 | 
| Provider Name | Maria De Los Angeles Davila | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1962559393 PECOS PAC ID: 4385999200 Enrollment ID: I20180618002861 | 
| Provider Name | Jannie Renee Engel | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1093205429 PECOS PAC ID: 3375898166 Enrollment ID: I20180619002719 | 
| Provider Name | Mindi Marie Perry | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1306176599 PECOS PAC ID: 6800077835 Enrollment ID: I20180625000917 | 
| Provider Name | Anna Watkins | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1245627264 PECOS PAC ID: 2860746120 Enrollment ID: I20181126003494 | 
| Provider Name | Carla Jane Andersson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1093279416 PECOS PAC ID: 5496827149 Enrollment ID: I20190312000482 | 
| Provider Name | Jennifer K Spencer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1770509572 PECOS PAC ID: 7012926462 Enrollment ID: I20190515002332 | 
| Provider Name | Leigh W Cox | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1114583275 PECOS PAC ID: 2769710870 Enrollment ID: I20190828001306 | 
| Provider Name | Ebony Wright | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1346771318 PECOS PAC ID: 6800128588 Enrollment ID: I20191030000341 | 
| Provider Name | Erin Clevenger | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1831581180 PECOS PAC ID: 2668805755 Enrollment ID: I20191203002728 | 
| Provider Name | Jacqueline Parker Hatch | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1265832612 PECOS PAC ID: 1355779562 Enrollment ID: I20200323002302 | 
| Provider Name | Catelyn Vanauken Inman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356977623 PECOS PAC ID: 6406286384 Enrollment ID: I20200416000950 | 
| Provider Name | Christine Villagomez | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1720638257 PECOS PAC ID: 6204261548 Enrollment ID: I20200713002558 | 
| Provider Name | Ha Thi Ngoc Nguyen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861961518 PECOS PAC ID: 3173947900 Enrollment ID: I20200727000393 | 
| Provider Name | Fatoumata Diallo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336763176 PECOS PAC ID: 3971929696 Enrollment ID: I20200812001809 | 
| Provider Name | Brandy Hunter Clark | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1902405095 PECOS PAC ID: 7416369764 Enrollment ID: I20201210002175 | 
| Provider Name | Katrina Shaney Beamon | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1780271353 PECOS PAC ID: 2264845205 Enrollment ID: I20210111002972 | 
| Provider Name | Sharon Alene Welborn | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023614906 PECOS PAC ID: 9638583115 Enrollment ID: I20210123000161 | 
| Durham County Mental Health Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4018 Trotter Ridge Rd, Durham, NC 27707 Phone: 919-493-4000 Fax: 919-493-1200 | |
| Global Mental Health And Substance Abuse Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Tw Alexander Drive, Durham, NC 27709 Phone: 919-530-0555 | |
| Crs Choices Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Mangum St Ste 204, Durham, NC 27701 Phone: 984-224-2150 | |
| Adrienne Inscoe, Phd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Broad St, Durham, NC 27705 Phone: 919-175-0307 | |
| Anfo Child And Adult Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3519 Fayetteville St, Durham, NC 27707 Phone: 919-806-2833 | |
| Branching Out Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Markham Ave, Durham, NC 27701 Phone: 919-884-1542 | |
| Infants, Children, Adults, Adolescents/juveniles, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N Roxboro St, Durham, NC 27704 Phone: 919-201-0052 |