| Focus Behavioral Health,llc | |
|
410 Foulk Rd Ste 105 Wilmington DE 19803-3835 | |
| (302) 752-2285 | |
| (302) 752-2286 |
| Full Name | Focus Behavioral Health,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 Foulk Rd Ste 105, Wilmington, Delaware |
| Authorized Official Name and Position | Ranga Nathan Ram (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3027522285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Focus Behavioral Health,llc 410 Foulk Rd Ste 105 Wilmington DE 19803-3835 Ph: (302) 752-2285 | Focus Behavioral Health,llc 410 Foulk Rd Ste 105 Wilmington DE 19803-3835 Ph: (302) 752-2285 |
| NPI Number | 1558662346 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 6709040520 |
|---|---|
| Medicare Enrollment ID | O20120607000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558662346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C1-0007013 (Delaware) | Primary |
| Provider Name | Marcia Lis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639219751 PECOS PAC ID: 4587674510 Enrollment ID: I20060504000394 |
| Provider Name | Russel D Buskirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619015179 PECOS PAC ID: 3971685868 Enrollment ID: I20080131000132 |
| Provider Name | Susan Carolyn Corey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144594680 PECOS PAC ID: 5496910465 Enrollment ID: I20130813000457 |
| Provider Name | Johnny E Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336550508 PECOS PAC ID: 8628290145 Enrollment ID: I20141117000075 |
| Provider Name | Audrey A Forka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087213 PECOS PAC ID: 0648593855 Enrollment ID: I20141223000799 |
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