| Mindcare Solutions Pc | |
|
4414 Pheasant Ridge Rd Roanoke VA 24014-5276 | |
| (330) 319-4240 | |
| Not Available |
| Full Name | Mindcare Solutions Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4414 Pheasant Ridge Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Brian Nichols (SR VP OF REVENUE OPERATIONS) |
| Authorized Official Contact | 3303194240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindcare Solutions Pc 3102 W End Ave Ste 1150 Nashville TN 37203-1614 Ph: (330) 319-4240 | Mindcare Solutions Pc 4414 Pheasant Ridge Rd Roanoke VA 24014-5276 Ph: (330) 319-4240 |
| NPI Number | 1992503544 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Medicare PECOS PAC ID | 2466779855 |
|---|---|
| Medicare Enrollment ID | O20250410001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992503544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ali Samee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871909333 PECOS PAC ID: 6800136169 Enrollment ID: I20190322001645 |
| Provider Name | Grace Elizabeth Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20190404002390 |
| Provider Name | Venkata Durga Prasad Diddi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720499825 PECOS PAC ID: 8123334141 Enrollment ID: I20190506001380 |
| Provider Name | Bamidele Ganiyu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073155933 PECOS PAC ID: 1153759394 Enrollment ID: I20200320002762 |
| Provider Name | Charissa Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689160442 PECOS PAC ID: 7517215957 Enrollment ID: I20201210002363 |
| Provider Name | Robert Rae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003852070 PECOS PAC ID: 1850399148 Enrollment ID: I20201228000727 |
| Provider Name | Alexandra Flanigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568014215 PECOS PAC ID: 7113254426 Enrollment ID: I20201228000873 |
| Provider Name | Joshua Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669024246 PECOS PAC ID: 7214265529 Enrollment ID: I20201228000931 |
| Provider Name | Hetvi Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609223650 PECOS PAC ID: 3375815194 Enrollment ID: I20210317001465 |
| Provider Name | Kodjovi D Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230615000284 |
| Provider Name | Jeremiah Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968697 PECOS PAC ID: 8426366378 Enrollment ID: I20230919001032 |
| Provider Name | Muhammad R Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972850170 PECOS PAC ID: 0749591055 Enrollment ID: I20231128001218 |
| Provider Name | Manuel Castro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336360874 PECOS PAC ID: 7315039195 Enrollment ID: I20250520004059 |
| Provider Name | Leon Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346688249 PECOS PAC ID: 5395043723 Enrollment ID: I20250611002641 |
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