| Riverside Behavioral Health | |
|
2753 W Fishhook Ave Ozark MO 65721-6798 | |
| (417) 861-2744 | |
| Not Available |
| Full Name | Riverside Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2753 W Fishhook Ave, Ozark, Missouri |
| Authorized Official Name and Position | Jason W Engel (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4178612744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Behavioral Health 2753 W Fishhook Ave Ozark MO 65721-6798 Ph: (417) 861-2744 | Riverside Behavioral Health 2753 W Fishhook Ave Ozark MO 65721-6798 Ph: (417) 861-2744 |
| NPI Number | 1124691134 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Medicare PECOS PAC ID | 2668875683 |
|---|---|
| Medicare Enrollment ID | O20210728000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124691134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jason W Engel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851385264 PECOS PAC ID: 2567363476 Enrollment ID: I20190731000278 |
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