| The Psychiatric Care Center Llc | |
|
620 W 1st St Portales NM 88130-5928 | |
| (575) 226-3898 | |
| (575) 226-3890 |
| Full Name | The Psychiatric Care Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 620 W 1st St, Portales, New Mexico |
| Authorized Official Name and Position | Casey Turnbough (CERTIFIED NURSE PRACTITIONER) |
| Authorized Official Contact | 5752199596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psychiatric Care Center Llc 620 W 1st St Portales NM 88130-5928 Ph: (575) 226-3898 | The Psychiatric Care Center Llc 620 W 1st St Portales NM 88130-5928 Ph: (575) 226-3898 |
| NPI Number | 1669729711 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Medicare PECOS PAC ID | 3476877507 |
|---|---|
| Medicare Enrollment ID | O20150121001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669729711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CNP01666 (New Mexico) | Primary |
| Provider Name | Casey L Turnbough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962719849 PECOS PAC ID: 9931385010 Enrollment ID: I20110526000069 |
| Provider Name | Kerri Renee Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144005224 PECOS PAC ID: 8921456401 Enrollment ID: I20231121003420 |
Mental Health Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 1st St, Portales, NM 88130 Phone: 575-359-1221 | |
Be Well Counseling Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 044 South Roosevelt Rd Ad, Portales, NM 88130 Phone: 575-760-0754 | |
Turquoise Health And Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Fir St, Portales, NM 88130 Phone: 575-356-2223 | |
White Oaks Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Avenue O, Portales, NM 88130 Phone: 575-356-2347 Fax: 575-356-2347 | |
Southeastern Behavioral Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 E 18th St # B, Portales, NM 88130 Phone: 575-714-3410 | |
Turquoise Health And Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 S Avenue D, Portales, NM 88130 Phone: 575-356-2223 |