| Genesis Counseling Center, Inc. | |
|
17747 Chillicothe Rd Ste 202 Chagrin Falls OH 44023-4739 | |
| (440) 543-8880 | |
| Not Available |
| Full Name | Genesis Counseling Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17747 Chillicothe Rd, Chagrin Falls, Ohio |
| Authorized Official Name and Position | William Fikter (MD) |
| Authorized Official Contact | 4405438880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Center, Inc. Po Box 901402 Cleveland OH 44190-1402 Ph: () - | Genesis Counseling Center, Inc. 17747 Chillicothe Rd Ste 202 Chagrin Falls OH 44023-4739 Ph: (440) 543-8880 |
| NPI Number | 1801088604 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 12/01/2007 |
| Medicare PECOS PAC ID | 6901995158 |
|---|---|
| Medicare Enrollment ID | O20100326000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801088604 | NPI | - | NPPES |
| 000000136790 | Other | ANTHEM BLUE CROSS | |
| 191762 | Other | VALUE OPTIONS | |
| 0147004 | Medicaid | OH | |
| 5781747 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35.063299 (Ohio) | Primary |
| Provider Name | William P Fikter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366468720 PECOS PAC ID: 6800985052 Enrollment ID: I20071211000395 |
| Provider Name | Annabella I Batiz-mccandlish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861418238 PECOS PAC ID: 6002955747 Enrollment ID: I20091209000303 |
| Provider Name | Timea F Turoczi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497077572 PECOS PAC ID: 4486788361 Enrollment ID: I20100813000556 |
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