| Optum Behavioral Care Of Delaware, Inc | |
|
1 Tara Blvd Ste 200 Nashua NH 03062-2809 | |
| (603) 242-2296 | |
| Not Available |
| Full Name | Optum Behavioral Care Of Delaware, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1 Tara Blvd Ste 200, Nashua, New Hampshire |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6038542929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Delaware, Inc 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (603) 854-2929 | Optum Behavioral Care Of Delaware, Inc 1 Tara Blvd Ste 200 Nashua NH 03062-2809 Ph: (603) 242-2296 |
| NPI Number | 1043083595 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 4587017363 |
|---|---|
| Medicare Enrollment ID | O20240208002713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043083595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Theresa Iannetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679919872 PECOS PAC ID: 2668894726 Enrollment ID: I20201119001697 |
| Provider Name | Lyndsey Bens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700474830 PECOS PAC ID: 9436566189 Enrollment ID: I20210325001643 |
| Provider Name | Kathryn Mullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881019065 PECOS PAC ID: 5092170449 Enrollment ID: I20230508002218 |
| Provider Name | Jeannette Doherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831738046 PECOS PAC ID: 2365862190 Enrollment ID: I20230628003340 |
| Provider Name | Kendall L. Schieding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629268735 PECOS PAC ID: 3072963131 Enrollment ID: I20240102002260 |
| Provider Name | Emily Carey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083975601 PECOS PAC ID: 1951753219 Enrollment ID: I20240123001038 |
| Provider Name | Emily Gaudion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508214636 PECOS PAC ID: 0446602692 Enrollment ID: I20240123004284 |
| Provider Name | Shruti Joshi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225684590 PECOS PAC ID: 4981057197 Enrollment ID: I20240124001416 |
| Provider Name | Brianna Zenkus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144711250 PECOS PAC ID: 1557801792 Enrollment ID: I20240913002463 |
| Provider Name | David Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457567919 PECOS PAC ID: 5597741777 Enrollment ID: I20250206001055 |
| Provider Name | Jamie Lyn Faulhaber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598353070 PECOS PAC ID: 5597286229 Enrollment ID: I20250310003144 |
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