| Henderson Behavioral Health, Inc. | |
|
4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5839 | |
| (954) 497-3850 | |
| (954) 497-3857 |
| Full Name | Henderson Behavioral Health, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4740 N State Road 7 Ste 201, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Erica Ricketts (CFO) |
| Authorized Official Contact | 9547771662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Behavioral Health, Inc. 4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5804 Ph: (954) 497-3850 | Henderson Behavioral Health, Inc. 4740 N State Road 7 Ste 201 Lauderdale Lakes FL 33319-5839 Ph: (954) 497-3850 |
| NPI Number | 1972533271 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 4688574643 |
|---|---|
| Medicare Enrollment ID | O20040113000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972533271 | NPI | - | NPPES |
| 060338403 | Medicaid | FL | |
| 060338416 | Medicaid | FL | |
| 060338410 | Medicaid | FL | |
| 060338412 | Medicaid | FL | |
| 060338408 | Medicaid | FL | |
| 060330402 | Medicaid | FL | |
| 060338417 | Medicaid | FL | |
| 060338400 | Medicaid | FL |
| Provider Name | Lorraine M Collins-fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639594096 PECOS PAC ID: 7719870534 Enrollment ID: I20040205000590 |
| Provider Name | Joseph C Munafo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740253657 PECOS PAC ID: 8628963816 Enrollment ID: I20040217000637 |
| Provider Name | Alka Singal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053428607 PECOS PAC ID: 5698761617 Enrollment ID: I20040423000570 |
| Provider Name | Maria A Gorelick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922099290 PECOS PAC ID: 4688633936 Enrollment ID: I20041004000928 |
| Provider Name | Marc D Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467665091 PECOS PAC ID: 6800987223 Enrollment ID: I20091007000636 |
| Provider Name | Sheryl M Hidalgo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588793632 PECOS PAC ID: 2264619717 Enrollment ID: I20110609000153 |
| Provider Name | Bhagirathy Sahasranaman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902934508 PECOS PAC ID: 2062682362 Enrollment ID: I20110824000212 |
| Provider Name | Levi I Kahane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013031160 PECOS PAC ID: 9032379797 Enrollment ID: I20120404000654 |
| Provider Name | Mansoor P Shoukat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649673187 PECOS PAC ID: 1456676501 Enrollment ID: I20150211001813 |
| Provider Name | Stephen A Mcleod-bryant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669580510 PECOS PAC ID: 5698856441 Enrollment ID: I20150727000060 |
| Provider Name | Adrienn Nagy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992184923 PECOS PAC ID: 3779886007 Enrollment ID: I20160120002670 |
| Provider Name | Robert J. Scardino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730301490 PECOS PAC ID: 8325325129 Enrollment ID: I20170504000594 |
| Provider Name | Nkechi M Jebose-chinye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245685031 PECOS PAC ID: 1355608761 Enrollment ID: I20171120001292 |
| Provider Name | Jean C Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629583406 PECOS PAC ID: 7719241033 Enrollment ID: I20180514000165 |
| Provider Name | Marcia M Binion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477056943 PECOS PAC ID: 4284999848 Enrollment ID: I20180531001655 |
| Provider Name | Martina Marini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518463884 PECOS PAC ID: 3173857364 Enrollment ID: I20190621000614 |
| Provider Name | Tatayana Maltseva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134502578 PECOS PAC ID: 5395177141 Enrollment ID: I20191115001226 |
| Provider Name | Reginald Exilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801452628 PECOS PAC ID: 8921419268 Enrollment ID: I20201118000490 |
| Provider Name | Jean Max Saint Charles |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629466727 PECOS PAC ID: 3577880970 Enrollment ID: I20201223000434 |
| Provider Name | Courtney Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372987 PECOS PAC ID: 6204249147 Enrollment ID: I20210113002170 |
| Provider Name | Sheena Ausirus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346739356 PECOS PAC ID: 0345655098 Enrollment ID: I20210211000114 |
| Provider Name | Claudia C Carpio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902209125 PECOS PAC ID: 8820395528 Enrollment ID: I20210506000463 |
| Provider Name | Hema Swathirajan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138876 PECOS PAC ID: 7618377169 Enrollment ID: I20210621002039 |
| Provider Name | Vincent C Licata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891020368 PECOS PAC ID: 2264833532 Enrollment ID: I20210623003262 |
| Provider Name | Karen D Weinstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908352 PECOS PAC ID: 0042617037 Enrollment ID: I20210917000455 |
| Provider Name | Stephanie J Van Houten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205571312 PECOS PAC ID: 9234512435 Enrollment ID: I20220822001406 |
| Provider Name | Marie L Constant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235479098 PECOS PAC ID: 7113302498 Enrollment ID: I20220922002724 |
| Provider Name | Murfy Morantus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174030936 PECOS PAC ID: 6709141013 Enrollment ID: I20230524000235 |
| Provider Name | Nadine R Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629647979 PECOS PAC ID: 4587025127 Enrollment ID: I20230731001095 |
| Provider Name | Bervelie Isidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346969243 PECOS PAC ID: 9537539291 Enrollment ID: I20231009002482 |
| Provider Name | Evelyn Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710667829 PECOS PAC ID: 8729433230 Enrollment ID: I20231018000544 |
| Provider Name | Jennifer St Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992582456 PECOS PAC ID: 5496104507 Enrollment ID: I20231214003326 |
| Provider Name | Jessica Milhomme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760033724 PECOS PAC ID: 1254878879 Enrollment ID: I20240731004663 |
| Provider Name | Leilani Fandino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942330923 PECOS PAC ID: 5294273637 Enrollment ID: I20240815002952 |
| Provider Name | Natalia Mejia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992055172 PECOS PAC ID: 6204375918 Enrollment ID: I20240826003996 |
| Provider Name | Chevonne L Linton Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083065809 PECOS PAC ID: 8123567245 Enrollment ID: I20240903002031 |
| Provider Name | Lyneida L Lopez-estrella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255910329 PECOS PAC ID: 5294274312 Enrollment ID: I20240903002147 |
| Provider Name | Susan J Ivers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386985422 PECOS PAC ID: 1557800687 Enrollment ID: I20240903002185 |
| Provider Name | David Rathjens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972334696 PECOS PAC ID: 3678013950 Enrollment ID: I20240912004559 |
| Provider Name | Amanda L Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295459808 PECOS PAC ID: 9436520129 Enrollment ID: I20241010000248 |
| Provider Name | Netty A Varela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295550358 PECOS PAC ID: 9335676493 Enrollment ID: I20241231002409 |
| Provider Name | Leon Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881747657 PECOS PAC ID: 5698809127 Enrollment ID: I20250127000329 |
| Provider Name | Treasa M Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528469111 PECOS PAC ID: 5597287946 Enrollment ID: I20250314002930 |
Steward Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313 Phone: 954-472-1322 | |
Osborne Legal Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 N State Road 7 Ste 200, Lauderdale Lakes, FL 33319 Phone: 954-274-5448 Fax: 954-484-1216 | |
Fmc Hospital, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000 | |
Rjm Medical Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3871 W Oakland Park Blvd, Lauderdale Lakes, FL 33311 Phone: 954-858-5717 Fax: 954-484-0530 | |
Gothrig Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2331 N State Road 7 Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-530-6558 Fax: 954-769-1576 | |
Floridas Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 W Oakland Park Blvd Ste 102, Lauderdale Lakes, FL 33313 Phone: 954-380-0714 Fax: 877-977-5142 | |
Alina Health Medical Center Corp. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4800 N State Road 7 Ste C, Lauderdale Lakes, FL 33319 Phone: 305-767-0887 |