| Psychiatric Services And Tms Center Llc | |
|
5536 Hilliard Rome Office Park Hilliard OH 43026-7286 | |
| (585) 705-5226 | |
| (614) 504-4032 |
| Full Name | Psychiatric Services And Tms Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5536 Hilliard Rome Office Park, Hilliard, Ohio |
| Authorized Official Name and Position | Raju Fatehchand (CO-OWNER) |
| Authorized Official Contact | 5857055226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services And Tms Center Llc 5536 Hilliard Rome Office Park Hilliard OH 43026-7286 Ph: (585) 705-5226 | Psychiatric Services And Tms Center Llc 5536 Hilliard Rome Office Park Hilliard OH 43026-7286 Ph: (585) 705-5226 |
| NPI Number | 1891431821 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 9335527480 |
|---|---|
| Medicare Enrollment ID | O20220602001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891431821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Max M Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700884111 PECOS PAC ID: 9436045234 Enrollment ID: I20040227000155 |
| Provider Name | Cari Callaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629562053 PECOS PAC ID: 8224372719 Enrollment ID: I20181211001227 |
| Provider Name | Emily Rees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336605377 PECOS PAC ID: 8426398322 Enrollment ID: I20190312002265 |
| Provider Name | Erin E Rinehart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558615161 PECOS PAC ID: 5597186072 Enrollment ID: I20200609002505 |
| Provider Name | Erica Gantner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396344727 PECOS PAC ID: 5496167736 Enrollment ID: I20201210001796 |
| Provider Name | Corrin Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861150617 PECOS PAC ID: 3173910601 Enrollment ID: I20220429002137 |
| Provider Name | Stacey Lynn Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689322026 PECOS PAC ID: 6002273752 Enrollment ID: I20230612001108 |
| Provider Name | Monica Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497436646 PECOS PAC ID: 2365897386 Enrollment ID: I20231011003280 |
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