| Paradigm Behavioral Health Llc | |
|
122 Uptown Dr Bay City MI 48708-5617 | |
| (989) 573-5043 | |
| Not Available |
| Full Name | Paradigm Behavioral Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 122 Uptown Dr, Bay City, Michigan |
| Authorized Official Name and Position | Drew Barnhill (MANAGER) |
| Authorized Official Contact | 9899714040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Behavioral Health Llc Po Box 444 Freeland MI 48623-0444 Ph: () - | Paradigm Behavioral Health Llc 122 Uptown Dr Bay City MI 48708-5617 Ph: (989) 573-5043 |
| NPI Number | 1316674526 |
|---|---|
| Provider Enumeration Date | 08/07/2022 |
| Last Update Date | 01/22/2023 |
| Certification Date | 01/22/2023 |
| Medicare PECOS PAC ID | 3274903067 |
|---|---|
| Medicare Enrollment ID | O20230112002580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316674526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Brooke P Barnhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639806052 PECOS PAC ID: 2264802057 Enrollment ID: I20230112002618 |
| Provider Name | Kerrye Deeann Herbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174234231 PECOS PAC ID: 1355712647 Enrollment ID: I20230124003287 |
| Provider Name | Alicia Fiske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144691361 PECOS PAC ID: 9537510995 Enrollment ID: I20240110001312 |
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