| Psycare Inc | |
|
312 6th Ave Ste 2 South Charleston WV 25303-1265 | |
| (304) 768-6170 | |
| (304) 768-2099 |
| Full Name | Psycare Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 312 6th Ave Ste 2, South Charleston, West Virginia |
| Authorized Official Name and Position | Daniel Bruce Thistlethwaite (CEO) |
| Authorized Official Contact | 3047686170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycare Inc 312 6th Ave Ste 2 South Charleston WV 25303-1265 Ph: (304) 768-6170 | Psycare Inc 312 6th Ave Ste 2 South Charleston WV 25303-1265 Ph: (304) 768-6170 |
| NPI Number | 1144433459 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 1759310998 |
|---|---|
| Medicare Enrollment ID | O20050809000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144433459 | NPI | - | NPPES |
| Provider Name | Christy Lynn Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275763807 PECOS PAC ID: 6103864020 Enrollment ID: I20100107000194 |
| Provider Name | Amy Nickole Wehrle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679767982 PECOS PAC ID: 9739213323 Enrollment ID: I20100818000574 |
| Provider Name | Russell I Voltin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275659096 PECOS PAC ID: 4385673524 Enrollment ID: I20110524000817 |
| Provider Name | Daniel Bruce Thistlethwaite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518083328 PECOS PAC ID: 8921037169 Enrollment ID: I20110524000834 |
| Provider Name | Steven F. Dreyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275659963 PECOS PAC ID: 5395911572 Enrollment ID: I20120110000783 |
| Provider Name | Brenda Sue Carper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265645584 PECOS PAC ID: 8729254909 Enrollment ID: I20120110000806 |
| Provider Name | Bobbi R Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285934968 PECOS PAC ID: 5395994180 Enrollment ID: I20121011000688 |
| Provider Name | Angela D |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770676231 PECOS PAC ID: 1456545813 Enrollment ID: I20180129002718 |
| Provider Name | Michelle Lee Mcfarland |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1740678978 PECOS PAC ID: 7911396940 Enrollment ID: I20211113000244 |
| Provider Name | Sherrie Ann Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801438791 PECOS PAC ID: 8224480496 Enrollment ID: I20240123004871 |
| Provider Name | Mindy Sue Stanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902230980 PECOS PAC ID: 9931552817 Enrollment ID: I20240126002173 |
| Provider Name | Ian Thistlethwaite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568924611 PECOS PAC ID: 2769711720 Enrollment ID: I20240820001665 |
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