| Kindervater & Carroll, Llc | |
|
702 Commerce Dr Ste 150 Perrysburg OH 43551-5252 | |
| (419) 874-0274 | |
| (419) 874-9960 |
| Full Name | Kindervater & Carroll, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 702 Commerce Dr Ste 150, Perrysburg, Ohio |
| Authorized Official Name and Position | Karen A. Kindervater (OWNER) |
| Authorized Official Contact | 4198740274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindervater & Carroll, Llc 702 Commerce Dr Ste 150 Perrysburg OH 43551-5252 Ph: (419) 874-0274 | Kindervater & Carroll, Llc 702 Commerce Dr Ste 150 Perrysburg OH 43551-5252 Ph: (419) 874-0274 |
| NPI Number | 1801959945 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Medicare PECOS PAC ID | 8628170933 |
|---|---|
| Medicare Enrollment ID | O20070216000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801959945 | NPI | - | NPPES |
| Provider Name | Guillermo A Bernal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184619629 PECOS PAC ID: 4082716303 Enrollment ID: I20070216000318 |
| Provider Name | Barbara E Metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043225303 PECOS PAC ID: 5799800660 Enrollment ID: I20100915000760 |
| Provider Name | Nancy B Carroll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144399627 PECOS PAC ID: 9537328877 Enrollment ID: I20120306000992 |
| Provider Name | Karen A Kindervater |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306915806 PECOS PAC ID: 8921100926 Enrollment ID: I20120404000906 |
| Provider Name | Gary Incorvaia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568519866 PECOS PAC ID: 6204108293 Enrollment ID: I20170825002519 |
| Provider Name | Carli Jo Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558867770 PECOS PAC ID: 2365786845 Enrollment ID: I20181211001010 |
| Provider Name | Elizabeth K Skaff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073692182 PECOS PAC ID: 7416389846 Enrollment ID: I20191122001800 |
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