| Eastway Corporation | |
|
600 Wayne Ave Dayton OH 45410-1122 | |
| (937) 496-2000 | |
| (937) 463-2901 |
| Full Name | Eastway Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Wayne Ave, Dayton, Ohio |
| Authorized Official Name and Position | Cybil Saum-johnson (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 9374962000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastway Corporation 600 Wayne Ave Dayton OH 45410-1122 Ph: () - | Eastway Corporation 600 Wayne Ave Dayton OH 45410-1122 Ph: (937) 496-2000 |
| NPI Number | 1811920556 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/17/2017 |
| Medicare PECOS PAC ID | 1153211065 |
|---|---|
| Medicare Enrollment ID | O20040316000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811920556 | NPI | - | NPPES |
| 0201758 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1396 (Ohio) | Primary |
| Provider Name | Paul Francis Hanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760507057 PECOS PAC ID: 4789657131 Enrollment ID: I20040816000055 |
| Provider Name | Bertilia M Toca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457339582 PECOS PAC ID: 2466403324 Enrollment ID: I20050208000692 |
| Provider Name | Adrienne Y Mccray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518003417 PECOS PAC ID: 4284759259 Enrollment ID: I20100914000735 |
| Provider Name | Edward Charles Longo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194841510 PECOS PAC ID: 5496948101 Enrollment ID: I20101026000335 |
| Provider Name | Jeannine E Sheppard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720105109 PECOS PAC ID: 8628254240 Enrollment ID: I20110517000231 |
| Provider Name | Steven Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235128281 PECOS PAC ID: 8022045665 Enrollment ID: I20110517000304 |
| Provider Name | Christopher John Hasseltine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205809001 PECOS PAC ID: 5890723746 Enrollment ID: I20131025001248 |
| Provider Name | Princess G Gaitawe Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699936377 PECOS PAC ID: 1850529405 Enrollment ID: I20170327002756 |
| Provider Name | Robert Orgain Hardy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982791729 PECOS PAC ID: 3577573302 Enrollment ID: I20170810003804 |
| Provider Name | Dona Jean Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509916 PECOS PAC ID: 8224436076 Enrollment ID: I20211007002762 |
| Provider Name | Brandy Davina Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316452253 PECOS PAC ID: 2365831369 Enrollment ID: I20211112001470 |
| Provider Name | Katherine L. Lind |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386771897 PECOS PAC ID: 2062806870 Enrollment ID: I20220221001840 |
| Provider Name | Ashley Nicole Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942710082 PECOS PAC ID: 7113388661 Enrollment ID: I20230731002055 |
| Provider Name | Amy Lynn Garbrecht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518410190 PECOS PAC ID: 6204275472 Enrollment ID: I20240419003428 |
| Provider Name | Rebekah Sue Drury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396427936 PECOS PAC ID: 7911430327 Enrollment ID: I20241023004072 |
| Provider Name | Mandella Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053829218 PECOS PAC ID: 0648706788 Enrollment ID: I20241212000127 |
| Provider Name | Kavin Ketan Shah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477045094 PECOS PAC ID: 5496279341 Enrollment ID: I20250411002937 |
Liberty Counseling And Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4769 Free Pike, Dayton, OH 45416 Phone: 614-738-3821 | |
Communikare Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Woodman Dr, Dayton, OH 45432 Phone: 937-223-1781 Fax: 937-424-0279 | |
Practical Solutions Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 Salem Ave, Dayton, OH 45416 Phone: 937-470-8113 | |
Odyssey Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Rhoads Center Dr Ste C, Dayton, OH 45458 Phone: 937-931-7307 | |
Miami Valley Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 Fax: 937-499-7813 | |
New Reflections Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Regency Ridge Dr, Dayton, OH 45459 Phone: 937-396-7077 | |
Eastway Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Wayne Ave, Dayton, OH 45410 Phone: 937-496-2000 Fax: 937-463-2901 |