| Metropolitan Behavioral Services Llc | |
|
4720 Salisbury Rd Jacksonville FL 32256-6101 | |
| (904) 562-1391 | |
| (904) 374-3057 |
| Full Name | Metropolitan Behavioral Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 4720 Salisbury Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Mylouse Millie Sagesse (DIRECTOR) |
| Authorized Official Contact | 9045621391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Behavioral Services Llc 4500 Salisbury Rd Ste 490 Jacksonville FL 32216-0968 Ph: (904) 562-1391 | Metropolitan Behavioral Services Llc 4720 Salisbury Rd Jacksonville FL 32256-6101 Ph: (904) 562-1391 |
| NPI Number | 1801261631 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Medicare PECOS PAC ID | 6204190796 |
|---|---|
| Medicare Enrollment ID | O20180509001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801261631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH10807 (Florida) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Elizabeth A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215283536 PECOS PAC ID: 3476703588 Enrollment ID: I20121026000291 |
| Provider Name | Amelia D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316297054 PECOS PAC ID: 6709017759 Enrollment ID: I20140317000425 |
| Provider Name | Joseph E Sarachene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518931278 PECOS PAC ID: 0042436859 Enrollment ID: I20140730001828 |
| Provider Name | Manjit Kaur Vohra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866024 PECOS PAC ID: 6901708361 Enrollment ID: I20170814000553 |
| Provider Name | Marek Hirsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295167385 PECOS PAC ID: 6204126873 Enrollment ID: I20180116001174 |
| Provider Name | Blazen Draguljic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528249125 PECOS PAC ID: 0941574362 Enrollment ID: I20200715003076 |
| Provider Name | Sharmayn Sayers-erfourth |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1497103469 PECOS PAC ID: 2860735016 Enrollment ID: I20210120002687 |
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