| Hagerstown Psychiatry Inc | |
|
12821 Oak Hill Ave Ste 3 Hagerstown MD 21742-2959 | |
| (240) 452-1623 | |
| (240) 597-6620 |
| Full Name | Hagerstown Psychiatry Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12821 Oak Hill Ave Ste 3, Hagerstown, Maryland |
| Authorized Official Name and Position | Shahnoor Khan (PRESIDENT) |
| Authorized Official Contact | 7034003433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hagerstown Psychiatry Inc 11123 Corobon Ln Great Falls VA 22066-1403 Ph: (304) 279-9772 | Hagerstown Psychiatry Inc 12821 Oak Hill Ave Ste 3 Hagerstown MD 21742-2959 Ph: (240) 452-1623 |
| NPI Number | 1730646290 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Medicare PECOS PAC ID | 6406284272 |
|---|---|
| Medicare Enrollment ID | O20200311000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730646290 | NPI | - | NPPES |
| D0064888 | Other | MD | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Shahnoor Ali Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346342458 PECOS PAC ID: 6103719323 Enrollment ID: I20200311000051 |
| Provider Name | Carole Tchatchoua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447718549 PECOS PAC ID: 2466861356 Enrollment ID: I20210518001665 |
Western Maryland Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Potomac St, Suite 204, Hagerstown, MD 21740 Phone: 301-467-3137 Fax: 240-986-9504 | |
Alternative Drug & Alcohol Counseling (adac) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 Virginia Ave, Hagerstown, MD 21740 Phone: 301-797-8584 Fax: 301-766-9594 | |
Kingdom Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Public Sq Ste 200, Hagerstown, MD 21740 Phone: 301-393-5500 | |
None Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Prospect Ave, Suite 103, Hagerstown, MD 21742 Phone: 240-382-2207 Fax: 240-347-4831 | |
Ifcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Maryland Ave, Hagerstown, MD 21740 Phone: 301-696-0726 | |
Keep Exploring Yourself, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 N Mulberry St, Hagerstown, MD 21740 Phone: 410-624-6452 | |
Outreach Recovery Ii, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Frederick St, Hagerstown, MD 21740 Phone: 410-800-4466 |