| Northeast Behavioral Health Llc | |
|
3821 Starrs Centre Dr Suite B Canfield OH 44406-8003 | |
| (330) 533-3102 | |
| (330) 533-3123 |
| Full Name | Northeast Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3821 Starrs Centre Dr, Canfield, Ohio |
| Authorized Official Name and Position | Jessica N Szenborn (OWNER) |
| Authorized Official Contact | 3305333102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Behavioral Health Llc 3821 Starrs Centre Dr Suite B Canfield OH 44406-8003 Ph: (330) 533-3102 | Northeast Behavioral Health Llc 3821 Starrs Centre Dr Suite B Canfield OH 44406-8003 Ph: (330) 533-3102 |
| NPI Number | 1871838474 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 03/28/2016 |
| Medicare PECOS PAC ID | 9234364878 |
|---|---|
| Medicare Enrollment ID | O20131106001580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871838474 | NPI | - | NPPES |
| Provider Name | Monica C Petrilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407975238 PECOS PAC ID: 4385709427 Enrollment ID: I20090224000460 |
| Provider Name | Michael F Potesta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801112081 PECOS PAC ID: 6204073042 Enrollment ID: I20130514000756 |
| Provider Name | Shiloh Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720560634 PECOS PAC ID: 0345592341 Enrollment ID: I20181002001973 |
| Provider Name | Jessica N Szenborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730588286 PECOS PAC ID: 5496980039 Enrollment ID: I20240129001434 |
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