| Travco Behavioral Health, Inc. | |
|
8261 Market St Ste A Boardman OH 44512-6254 | |
| (330) 286-0050 | |
| (330) 286-0055 |
| Full Name | Travco Behavioral Health, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 8261 Market St Ste A, Boardman, Ohio |
| Authorized Official Name and Position | Dave Kapp (OWNER) |
| Authorized Official Contact | 3302860050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Travco Behavioral Health, Inc. 8261 Market St Ste A Boardman OH 44512-6254 Ph: (330) 286-0050 | Travco Behavioral Health, Inc. 8261 Market St Ste A Boardman OH 44512-6254 Ph: (330) 286-0050 |
| NPI Number | 1124086616 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 3476623026 |
|---|---|
| Medicare Enrollment ID | O20080609000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124086616 | NPI | - | NPPES |
| Provider Name | Ronald J Yendrek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306888771 PECOS PAC ID: 5597752873 Enrollment ID: I20040428001066 |
| Provider Name | Genevieve Elaine Tryon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952390346 PECOS PAC ID: 1153351473 Enrollment ID: I20050817000012 |
| Provider Name | Zachary F Veres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285619239 PECOS PAC ID: 0143240374 Enrollment ID: I20051201000832 |
| Provider Name | Muhannad Kassawat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023266533 PECOS PAC ID: 3274698436 Enrollment ID: I20090223000339 |
| Provider Name | Kenneth Scott Pacer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033237300 PECOS PAC ID: 5294885570 Enrollment ID: I20090608000413 |
| Provider Name | Anna R Hawout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659824993 PECOS PAC ID: 8527348952 Enrollment ID: I20170623001571 |
| Provider Name | Michelle L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265772347 PECOS PAC ID: 3274896634 Enrollment ID: I20180417001776 |
| Provider Name | Lori Leipheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013990845 PECOS PAC ID: 1355566498 Enrollment ID: I20190819004070 |
| Provider Name | Noah John Hochendoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932723848 PECOS PAC ID: 5092133181 Enrollment ID: I20200922003261 |
| Provider Name | Angie Denicholas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265910855 PECOS PAC ID: 0143634030 Enrollment ID: I20210204002339 |
| Provider Name | Shawn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134851751 PECOS PAC ID: 3375914047 Enrollment ID: I20230118000445 |
| Provider Name | Taylor Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902531577 PECOS PAC ID: 0143691030 Enrollment ID: I20230201002006 |
| Provider Name | Bradford Stephen Diemer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770090458 PECOS PAC ID: 6406206440 Enrollment ID: I20240103001343 |
| Provider Name | Megan Culp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821408576 PECOS PAC ID: 6103277892 Enrollment ID: I20240106000667 |
| Provider Name | Andrea Longo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063801249 PECOS PAC ID: 8426409178 Enrollment ID: I20240108003635 |
| Provider Name | Albert James Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124271093 PECOS PAC ID: 1951753805 Enrollment ID: I20240117000723 |
| Provider Name | Katerina Mayer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013521582 PECOS PAC ID: 4183076524 Enrollment ID: I20240122000959 |
| Provider Name | Meredith Leigh Edgar-bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073949640 PECOS PAC ID: 6204289671 Enrollment ID: I20240201002047 |
| Provider Name | Kyle E Benning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114418720 PECOS PAC ID: 7416392170 Enrollment ID: I20240304003116 |
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Psycare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-758-0101 Fax: 330-758-0128 | |
Deborah L Sano Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7010 South Ave Ste 5, Boardman, OH 44512 Phone: 330-953-0373 Fax: 330-953-1373 | |
Nicholas A Atanasoff Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8090 Market St, Boardman, OH 44512 Phone: 330-629-2596 | |
Maximo B. Lockward, M.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Market St, Suite 1, Boardman, OH 44512 Phone: 330-965-5850 | |
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