| Teamcare Behavioral Health, Llc | |
|
1808 Colonial Village Ln Suite 103 Lancaster PA 17601-6745 | |
| (717) 391-0172 | |
| (717) 391-7771 |
| Full Name | Teamcare Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1808 Colonial Village Ln, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Pam Weitzel (OFFICE MANAGER) |
| Authorized Official Contact | 7173910172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teamcare Behavioral Health, Llc 1808 Colonial Village Ln Suite 103 Lancaster PA 17601-6745 Ph: (717) 391-0172 | Teamcare Behavioral Health, Llc 1808 Colonial Village Ln Suite 103 Lancaster PA 17601-6745 Ph: (717) 391-0172 |
| NPI Number | 1043408818 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 4183888324 |
|---|---|
| Medicare Enrollment ID | O20120619000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043408818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 324500 (Pennsylvania) | Primary |
| Provider Name | Steven M Cartun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053317602 PECOS PAC ID: 1153310008 Enrollment ID: I20040507000220 |
| Provider Name | Johann Othmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518050327 PECOS PAC ID: 3072503580 Enrollment ID: I20040517000502 |
| Provider Name | Jeffrey William Hermann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376603597 PECOS PAC ID: 5294701652 Enrollment ID: I20040907001214 |
| Provider Name | Lizabeth Potter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912008285 PECOS PAC ID: 6901815570 Enrollment ID: I20060418000547 |
| Provider Name | Franklin D Deguzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720014681 PECOS PAC ID: 8224171772 Enrollment ID: I20100205000077 |
| Provider Name | Eugenia U Abonyi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760686042 PECOS PAC ID: 0749468395 Enrollment ID: I20110629000691 |
| Provider Name | Santoshkumar S Mathapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164685236 PECOS PAC ID: 1254505159 Enrollment ID: I20111110000299 |
| Provider Name | Matthew Biever |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023227741 PECOS PAC ID: 7113173402 Enrollment ID: I20120801000578 |
| Provider Name | Jennifer A Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558486563 PECOS PAC ID: 5890010185 Enrollment ID: I20150209000378 |
| Provider Name | Karen Mcclure-snodgrass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609002757 PECOS PAC ID: 8224394937 Enrollment ID: I20171114001035 |
| Provider Name | Theresa A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972077337 PECOS PAC ID: 2860731338 Enrollment ID: I20190227001666 |
| Provider Name | Erin Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255842977 PECOS PAC ID: 6103213913 Enrollment ID: I20220426001973 |
| Provider Name | Kristina Dugas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285228593 PECOS PAC ID: 1850768300 Enrollment ID: I20221114000277 |
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