| Mountainview Behavioral & Neuroscience Center Llc | |
|
110 Hardin Ln Suite 1 Somerset KY 42503-3818 | |
| (606) 451-9748 | |
| (606) 451-0519 |
| Full Name | Mountainview Behavioral & Neuroscience Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 Hardin Ln, Somerset, Kentucky |
| Authorized Official Name and Position | Robina Bokhari (OFFICE MANAGER) |
| Authorized Official Contact | 6064519748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainview Behavioral & Neuroscience Center Llc 110 Hardin Ln Suite 1 Somerset KY 42503-3818 Ph: (606) 451-9748 | Mountainview Behavioral & Neuroscience Center Llc 110 Hardin Ln Suite 1 Somerset KY 42503-3818 Ph: (606) 451-9748 |
| NPI Number | 1144358391 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 07/01/2014 |
| Medicare PECOS PAC ID | 9234155318 |
|---|---|
| Medicare Enrollment ID | O20051018000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144358391 | NPI | - | NPPES |
| 65937971 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Kentucky) | Primary |
| Provider Name | Robina M Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588760706 PECOS PAC ID: 7810054723 Enrollment ID: I20090320000195 |
| Provider Name | Syed Asif Umar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316043540 PECOS PAC ID: 0244491009 Enrollment ID: I20120427000698 |
| Provider Name | Robert J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417467010 PECOS PAC ID: 4486919107 Enrollment ID: I20180530002781 |
| Provider Name | Kenny R Yancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842152 PECOS PAC ID: 7719371400 Enrollment ID: I20220222002757 |
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