| Headway Kansas Behavioral Health Services, P.a. | |
|
205 Hudson St Fl 9 New York NY 10013-1810 | |
| (646) 453-6777 | |
| (212) 337-9841 |
| Full Name | Headway Kansas Behavioral Health Services, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 205 Hudson St Fl 9, New York, New York |
| Authorized Official Name and Position | Cary Crall (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6464536777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headway Kansas Behavioral Health Services, P.a. 205 Hudson St Fl 9 New York NY 10013-1810 Ph: (646) 453-6777 | Headway Kansas Behavioral Health Services, P.a. 205 Hudson St Fl 9 New York NY 10013-1810 Ph: (646) 453-6777 |
| NPI Number | 1033820410 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Medicare PECOS PAC ID | 0547798316 |
|---|---|
| Medicare Enrollment ID | O20250107001843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033820410 | NPI | - | NPPES |
| Provider Name | Stephen Muisyo Maweu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861186421 PECOS PAC ID: 8729433727 Enrollment ID: I20231011002352 |
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