| Pines Behavioral Health Services | |
|
200 Vista Dr Coldwater MI 49036 | |
| (517) 278-2129 | |
| (517) 279-8172 |
| Full Name | Pines Behavioral Health Services |
|---|---|
| Speciality | Counselor |
| Location | 200 Vista Dr, Coldwater, Michigan |
| Authorized Official Name and Position | Robbin Sue Wilber (FINANCE OFFICER) |
| Authorized Official Contact | 5172782129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pines Behavioral Health Services 200 Vista Dr Coldwater MI 49036-1776 Ph: (517) 278-2129 | Pines Behavioral Health Services 200 Vista Dr Coldwater MI 49036 Ph: (517) 278-2129 |
| NPI Number | 1861430381 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 05/22/2018 |
| Medicare PECOS PAC ID | 4789612714 |
|---|---|
| Medicare Enrollment ID | O20050801000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861430381 | NPI | - | NPPES |
| 75-09-10497 | Other | MI | BCBS |
| 774352834 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ravinder K Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518954254 PECOS PAC ID: 5092613992 Enrollment ID: I20031230000412 |
| Provider Name | Anoop Thakur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861433211 PECOS PAC ID: 6709773781 Enrollment ID: I20040303000890 |
| Provider Name | Muktiraj B Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588658017 PECOS PAC ID: 8921086315 Enrollment ID: I20040712001039 |
| Provider Name | Linda S Engle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588738025 PECOS PAC ID: 9234194234 Enrollment ID: I20041201000152 |
| Provider Name | Kameswara Ran Tatineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700977154 PECOS PAC ID: 4688777444 Enrollment ID: I20070315000186 |
| Provider Name | Laura Lynn Brodt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174830467 PECOS PAC ID: 1355523176 Enrollment ID: I20110315000390 |
| Provider Name | Julianna M Zei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356383871 PECOS PAC ID: 4688614209 Enrollment ID: I20140722000775 |
| Provider Name | Megan L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326440090 PECOS PAC ID: 0941522072 Enrollment ID: I20141201000762 |
| Provider Name | Jason A Meints |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396155545 PECOS PAC ID: 7810279015 Enrollment ID: I20170124001180 |
| Provider Name | Shane P Speaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164995684 PECOS PAC ID: 1153668413 Enrollment ID: I20190124000144 |
| Provider Name | Neda Habeeb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831548536 PECOS PAC ID: 2567753585 Enrollment ID: I20190826000260 |
| Provider Name | Katlyn M Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922662709 PECOS PAC ID: 8820490667 Enrollment ID: I20210715002314 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20221005002795 |
| Provider Name | Jason A Papaconstandinou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518525641 PECOS PAC ID: 6800260993 Enrollment ID: I20230312000015 |
| Provider Name | Andrew L Woodcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134857741 PECOS PAC ID: 4183099302 Enrollment ID: I20230331000411 |
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