| Psychological Health Roanoke Pc | |
|
2840 Electric Rd Ste 200 Roanoke VA 24018-3551 | |
| (540) 777-7087 | |
| (540) 772-5157 |
| Full Name | Psychological Health Roanoke Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2840 Electric Rd Ste 200, Roanoke, Virginia |
| Authorized Official Name and Position | Nancy Santy (OFFICE MANAGER) |
| Authorized Official Contact | 5407777087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Roanoke Pc 2840 Electric Rd Ste 200 Roanoke VA 24018-3551 Ph: (540) 777-7087 | Psychological Health Roanoke Pc 2840 Electric Rd Ste 200 Roanoke VA 24018-3551 Ph: (540) 777-7087 |
| NPI Number | 1417975806 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 4981606076 |
|---|---|
| Medicare Enrollment ID | O20070201000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417975806 | NPI | - | NPPES |
| Provider Name | David P Meshorer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144291766 PECOS PAC ID: 8224095146 Enrollment ID: I20041213000668 |
| Provider Name | Barbara A Horton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255302873 PECOS PAC ID: 0042261828 Enrollment ID: I20050209000522 |
| Provider Name | Jeffrey C Allman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528034857 PECOS PAC ID: 8123052396 Enrollment ID: I20050927000313 |
| Provider Name | John E Heil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285605105 PECOS PAC ID: 6103846753 Enrollment ID: I20051129000305 |
| Provider Name | Samuel B Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467424895 PECOS PAC ID: 7810917465 Enrollment ID: I20051129000322 |
| Provider Name | Bruce A Sellars |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740251362 PECOS PAC ID: 5890715072 Enrollment ID: I20051202000226 |
| Provider Name | Ronald F Salzbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912013525 PECOS PAC ID: 2062414170 Enrollment ID: I20070202000109 |
| Provider Name | Emily A Defrance |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033188057 PECOS PAC ID: 4486697745 Enrollment ID: I20140204000425 |
| Provider Name | Harry S Mustard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851689996 PECOS PAC ID: 9335398304 Enrollment ID: I20190531000378 |
| Provider Name | Chelsea Gillispie Pardue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699493601 PECOS PAC ID: 1557736212 Enrollment ID: I20230411000980 |
| Provider Name | Tyler Coe Mcdaniel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558829408 PECOS PAC ID: 0042682361 Enrollment ID: I20230508000348 |
| Provider Name | Corinne Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487308797 PECOS PAC ID: 1153714159 Enrollment ID: I20230517002497 |
| Provider Name | Kristina B Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114563509 PECOS PAC ID: 2062862790 Enrollment ID: I20231221001404 |
| Provider Name | Robyn L Walden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134982457 PECOS PAC ID: 1658716469 Enrollment ID: I20240304000924 |
| Provider Name | Kirsten Carrell Osborne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639899396 PECOS PAC ID: 8729427604 Enrollment ID: I20240412000471 |
| Provider Name | Alice B Wilkerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356312987 PECOS PAC ID: 4385171685 Enrollment ID: I20241227001690 |
| Provider Name | Todd A Gearheart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942808845 PECOS PAC ID: 7113455577 Enrollment ID: I20250113002333 |
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