| Redbud Behavioral Health | |
|
1300 Thornton St Ste 103 Fredericksburg VA 22401-4608 | |
| (540) 212-9525 | |
| (540) 779-7696 |
| Full Name | Redbud Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 Thornton St Ste 103, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jonathan Yoder (OWNER) |
| Authorized Official Contact | 5402129525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redbud Behavioral Health 1300 Thornton St Ste 103 Fredericksburg VA 22401-4608 Ph: (540) 212-9525 | Redbud Behavioral Health 1300 Thornton St Ste 103 Fredericksburg VA 22401-4608 Ph: (540) 212-9525 |
| NPI Number | 1023797172 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 01/21/2026 |
| Certification Date | 01/21/2026 |
| Medicare PECOS PAC ID | 1153760731 |
|---|---|
| Medicare Enrollment ID | O20240416000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023797172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| Provider Name | Jonathan Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073778973 PECOS PAC ID: 2769635713 Enrollment ID: I20121227000091 |
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