| North Shelby Psychiatric Services, Inc. | |
|
1109 Townhouse Rd Helena AL 35080-4012 | |
| (205) 621-8677 | |
| (205) 621-8680 |
| Full Name | North Shelby Psychiatric Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1109 Townhouse Rd, Helena, Alabama |
| Authorized Official Name and Position | Shankar B Yalamanchili (PRESIDENT) |
| Authorized Official Contact | 3342073188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shelby Psychiatric Services, Inc. 1109 Townhouse Rd Helena AL 35080-4012 Ph: (334) 239-2622 | North Shelby Psychiatric Services, Inc. 1109 Townhouse Rd Helena AL 35080-4012 Ph: (205) 621-8677 |
| NPI Number | 1811134877 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 3971654625 |
|---|---|
| Medicare Enrollment ID | O20090619000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811134877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David R Faber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639117740 PECOS PAC ID: 4688623002 Enrollment ID: I20050112000945 |
| Provider Name | Shankar Yalamanchili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558332569 PECOS PAC ID: 0547343311 Enrollment ID: I20080218000110 |
| Provider Name | Paul G Larussa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861580672 PECOS PAC ID: 4880754175 Enrollment ID: I20081117000315 |
| Provider Name | Jayakrishna Madabushi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982836045 PECOS PAC ID: 5092956599 Enrollment ID: I20130725000726 |
| Provider Name | Debra Madson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891194601 PECOS PAC ID: 5092937698 Enrollment ID: I20141115000221 |
| Provider Name | Logan T Mendheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042226 PECOS PAC ID: 2163702572 Enrollment ID: I20161130002245 |
| Provider Name | Anthony Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780134593 PECOS PAC ID: 3779863469 Enrollment ID: I20161215001656 |
| Provider Name | Rachel Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992231229 PECOS PAC ID: 7315204682 Enrollment ID: I20171122001596 |
| Provider Name | Kellie Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705698 PECOS PAC ID: 3173860533 Enrollment ID: I20190124000049 |
| Provider Name | Robert S Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386110468 PECOS PAC ID: 0244577500 Enrollment ID: I20190124000141 |
| Provider Name | Lea Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104353705 PECOS PAC ID: 0446525752 Enrollment ID: I20190614000753 |
| Provider Name | Meagan Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013562545 PECOS PAC ID: 1355775198 Enrollment ID: I20200102001409 |
| Provider Name | Salman Kazim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154437457 PECOS PAC ID: 1153410360 Enrollment ID: I20210226001872 |
| Provider Name | Simone C Durand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518382373 PECOS PAC ID: 8820499346 Enrollment ID: I20210622001176 |
| Provider Name | Comanechi Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790303816 PECOS PAC ID: 9638587603 Enrollment ID: I20211217000586 |
| Provider Name | Karli Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245689132 PECOS PAC ID: 1052702230 Enrollment ID: I20211222002490 |
| Provider Name | Judy Njeri Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770119257 PECOS PAC ID: 7810389186 Enrollment ID: I20220118001523 |
| Provider Name | Shelia Anwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285981126 PECOS PAC ID: 9537481551 Enrollment ID: I20220216000280 |
| Provider Name | Rachel E Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639764178 PECOS PAC ID: 6608245279 Enrollment ID: I20221205000774 |
| Provider Name | Annie Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902301500 PECOS PAC ID: 1153736228 Enrollment ID: I20230606001423 |
| Provider Name | Kimberly R Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184324477 PECOS PAC ID: 2668839457 Enrollment ID: I20230609001904 |
| Provider Name | Pascha T Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710619861 PECOS PAC ID: 6507225356 Enrollment ID: I20230711003226 |
| Provider Name | Katie C Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770239303 PECOS PAC ID: 1557718624 Enrollment ID: I20231110000985 |
| Provider Name | Kenya Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285197228 PECOS PAC ID: 4082058631 Enrollment ID: I20240222000674 |
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