| Rivervalley Behavioral Health | |
|
1100 Walnut St Owensboro KY 42301-2956 | |
| (270) 689-6500 | |
| (270) 689-6500 |
| Full Name | Rivervalley Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Walnut St, Owensboro, Kentucky |
| Authorized Official Name and Position | Eric Hicks (CFO) |
| Authorized Official Contact | 2706896540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivervalley Behavioral Health P.o. Box 1637 Owensboro KY 42302 Ph: (270) 689-6500 | Rivervalley Behavioral Health 1100 Walnut St Owensboro KY 42301-2956 Ph: (270) 689-6500 |
| NPI Number | 1285689711 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 04/03/2024 |
| Medicare PECOS PAC ID | 4082522396 |
|---|---|
| Medicare Enrollment ID | O20040121000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285689711 | NPI | - | NPPES |
| 29202033 | Medicaid | KY | |
| 17010307 | Medicaid | KY | |
| 27003011 | Medicaid | KY | |
| 29102035 | Medicaid | KY | |
| 33900093 | Medicaid | KY | |
| 29003010 | Medicaid | KY | |
| 30603013 | Medicaid | KY |
| Provider Name | Joan Evelyn Thomason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457392128 PECOS PAC ID: 2062302896 Enrollment ID: I20040317000105 |
| Provider Name | David Lynn Harmon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972544005 PECOS PAC ID: 4486693967 Enrollment ID: I20050426000324 |
| Provider Name | Deborah L Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982646998 PECOS PAC ID: 2961676119 Enrollment ID: I20111128000232 |
| Provider Name | Kalyan M Subedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973580 PECOS PAC ID: 8325269178 Enrollment ID: I20141021001554 |
| Provider Name | Erik M Rotterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073909099 PECOS PAC ID: 9436446747 Enrollment ID: I20191113002034 |
| Provider Name | Melanie Lorene Stanishia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235773953 PECOS PAC ID: 9436584075 Enrollment ID: I20200108003081 |
| Provider Name | Megan Marie Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093350928 PECOS PAC ID: 2860829777 Enrollment ID: I20200304002803 |
| Provider Name | Keith Alan Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811484454 PECOS PAC ID: 9133540826 Enrollment ID: I20200708002405 |
| Provider Name | Katherine Demko Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730525064 PECOS PAC ID: 5799101838 Enrollment ID: I20201111003073 |
| Provider Name | Michelle Ann Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083384150 PECOS PAC ID: 3375932114 Enrollment ID: I20211116002113 |
| Provider Name | Tina Renee Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942972146 PECOS PAC ID: 5799175139 Enrollment ID: I20211129002670 |
| Provider Name | April Pirtle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679053557 PECOS PAC ID: 6709278823 Enrollment ID: I20220124001459 |
| Provider Name | Patricia Higdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821520602 PECOS PAC ID: 5395130165 Enrollment ID: I20220314000442 |
| Provider Name | Annjanette Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679220313 PECOS PAC ID: 2668868795 Enrollment ID: I20220329002557 |
| Provider Name | Sean Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932856671 PECOS PAC ID: 2769878891 Enrollment ID: I20220329002930 |
| Provider Name | Cassandra Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366185399 PECOS PAC ID: 4880077353 Enrollment ID: I20220816001611 |
| Provider Name | Ursula Marie Mabrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336763838 PECOS PAC ID: 9537536172 Enrollment ID: I20221110001277 |
| Provider Name | Jacqueline Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093316747 PECOS PAC ID: 4082086681 Enrollment ID: I20230208000793 |
| Provider Name | Leslee Poole Haile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548966849 PECOS PAC ID: 8921471715 Enrollment ID: I20230225000210 |
| Provider Name | Cassie Mae Puckett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043859762 PECOS PAC ID: 7214302454 Enrollment ID: I20230331000999 |
| Provider Name | Melissa Thumas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548984909 PECOS PAC ID: 6406221647 Enrollment ID: I20230331001406 |
| Provider Name | Elizabeth Grace Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285335372 PECOS PAC ID: 5597130666 Enrollment ID: I20230404001497 |
| Provider Name | Sherrie Hester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861903908 PECOS PAC ID: 8921469719 Enrollment ID: I20230726001507 |
| Provider Name | Carrie Gresham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118158 PECOS PAC ID: 0042615619 Enrollment ID: I20230828000426 |
| Provider Name | Tracy Oldaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104425594 PECOS PAC ID: 1355791567 Enrollment ID: I20240102000359 |
| Provider Name | Jorden Miriah Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346898392 PECOS PAC ID: 4385095157 Enrollment ID: I20240105000765 |
| Provider Name | Jessica Joyce Page |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609031152 PECOS PAC ID: 2264883016 Enrollment ID: I20240105003602 |
| Provider Name | Cassie Tavares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750800322 PECOS PAC ID: 2961854682 Enrollment ID: I20240118002022 |
| Provider Name | Shane Sheriff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699214288 PECOS PAC ID: 8224481205 Enrollment ID: I20240125002981 |
| Provider Name | Darlene Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528209145 PECOS PAC ID: 2860845666 Enrollment ID: I20240129001773 |
| Provider Name | Maria Wedding Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396990974 PECOS PAC ID: 4385097112 Enrollment ID: I20240129002703 |
| Provider Name | Michael Hugh Fulkerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033524236 PECOS PAC ID: 6406209006 Enrollment ID: I20240131000762 |
| Provider Name | Harold E. Holcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881946648 PECOS PAC ID: 5698128932 Enrollment ID: I20240202000364 |
| Provider Name | Michaela Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952927592 PECOS PAC ID: 3072959576 Enrollment ID: I20240306003692 |
| Provider Name | Dominique Felice Mognett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457741597 PECOS PAC ID: 5496191785 Enrollment ID: I20240308002077 |
| Provider Name | James B Donaldson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942217666 PECOS PAC ID: 4284070582 Enrollment ID: I20240308002228 |
Toyotetsu - Owensboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Airpark Dr, Owensboro, KY 42301 Phone: 270-685-3098 Fax: 270-685-3099 | |
Jones Medical Corp Dba Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Salem Drive, Owensboro, KY 42303 Phone: 270-686-8008 Fax: 270-686-8066 | |
Choice Care Associates, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Breckenridge St, Suite 400, Owensboro, KY 42303 Phone: 270-688-0900 Fax: 207-926-7488 | |
Randy L Wolfe, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 | |
Owensboro Health Medical Group - Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-7500 Fax: 270-417-7509 | |
Robert C Dalzell,md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 Veach Rd, Owensboro, KY 42303 Phone: 270-926-2929 Fax: 270-683-3290 | |
Owensboro Health Medical Group - Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 E Parrish Ave, Owensboro, KY 42303 Phone: 270-691-8040 Fax: 270-691-8049 |