| Universal Behavioral Health | |
|
101 Medical Heights Dr Frankfort KY 40601-4137 | |
| (502) 696-9543 | |
| Not Available |
| Full Name | Universal Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 Medical Heights Dr, Frankfort, Kentucky |
| Authorized Official Name and Position | David L. Carter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8597370904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Behavioral Health Po Box 896 Winchester KY 40392-0896 Ph: (859) 737-0904 | Universal Behavioral Health 101 Medical Heights Dr Frankfort KY 40601-4137 Ph: (502) 696-9543 |
| NPI Number | 1679681605 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 02/21/2013 |
| Medicare PECOS PAC ID | 3971595083 |
|---|---|
| Medicare Enrollment ID | O20040331000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679681605 | NPI | - | NPPES |
| 64059132 | Medicaid | KY | |
| 553866000 | Other | KY | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Ramesh C Ghanta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205821071 PECOS PAC ID: 9234024969 Enrollment ID: I20040220000124 |
| Provider Name | Danielle Mcpeak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516040 PECOS PAC ID: 7911140777 Enrollment ID: I20130826000844 |
| Provider Name | Holly Noelle Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861867798 PECOS PAC ID: 4981906575 Enrollment ID: I20160114000191 |
| Provider Name | Laura J Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932784 PECOS PAC ID: 6507147816 Enrollment ID: I20161228001992 |
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