| Psychotherapeutic Services, Inc | |
|
2260 S. Church St Suite 303 Burlington NC 27215 | |
| (336) 538-6990 | |
| (336) 538-6991 |
| Full Name | Psychotherapeutic Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2260 S. Church St, Burlington, North Carolina |
| Authorized Official Name and Position | Marcia Lynn Clendaniel (BILLING MANAGER) |
| Authorized Official Contact | 4108102465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Services, Inc 2260 S Church St Suite 303 Burlington NC 27215 Ph: (410) 778-9114 | Psychotherapeutic Services, Inc 2260 S. Church St Suite 303 Burlington NC 27215 Ph: (336) 538-6990 |
| NPI Number | 1649341488 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/21/2022 |
| Certification Date | 10/22/2020 |
| Medicare PECOS PAC ID | 8123032794 |
|---|---|
| Medicare Enrollment ID | O20060202000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649341488 | NPI | - | NPPES |
| 8301699V | Other | NC | GUILFORD CST |
| 8301181A | Other | NC | PITT ACTT |
| 8300588A | Other | NC | ASSESSTIVE COMMUNITY TX |
| 8301699A | Other | NC | GUILFORD ACTT |
| 3410045 | Medicaid | NC | |
| 8300588 | Medicaid | NC | |
| 8300588V | Other | NC | ALAM CST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 231369010 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
| Provider Name | Mohammad D Lateef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962445668 PECOS PAC ID: 2264324383 Enrollment ID: I20040325000611 |
Make Memorez Cc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Dudley St, Burlington, NC 27217 Phone: 704-966-9410 | |
Psychotherapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 S. Church St, Suite 303, Burlington, NC 27215 Phone: 336-538-6990 Fax: 336-538-6991 | |
Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Lexington Ave, Burlington, NC 27215 Phone: 336-227-5476 | |
Alamance Caswell Area Mh Dd Sa Area Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 N Graham Hopedale Rd, Suite A, Burlington, NC 27217 Phone: 336-513-4200 Fax: 336-513-4379 | |
Psychotherapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 S. Church St, Suite 303, Burlington, NC 27215 Phone: 336-538-6990 Fax: 336-538-6691 | |
Lutheran Family Services In The Carolinas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4008 S. Nc Hwy. 62, Burlington, NC 27201 Phone: 336-744-7350 | |
Courage To Change Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Alamance Rd Ste E, Burlington, NC 27215 Phone: 919-548-7125 |