Svetlana Medvedeva (NPI# 1639542368, PAC ID# 0446556807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1639542368 |
PAC ID by PECOS | 0446556807 |
Professional Enrollment ID | I20160310000978 |
Full Name | Svetlana Medvedeva |
Organization Legal Name | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC |
Address |
3903 Indianapolis Blvd East Chicago IN 46312-2555 |
Phone Number | 2193987050 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Group Practice PAC ID | 5991600355 |
Number of Group Practice Members | 38 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2193987050 | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC |
8555 Taft St, Merrillville, IN 46410-6123 | 2197694005 | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC |
Organization Legal Name | SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC |
Physicians | 52 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rene M Roberts | Family Medicine | Southlake Community Mental Health Center Inc | 527 State St, Hammond, IN 46320-1533 |
Jared M Eaton | Psychologist, Clinical | Southlake Community Mental Health Center Inc | 1441 E 84th Place, Regional Mental Health Center Merrillville Outpt, Merrillville, IN 46410-6451 |
Amy N Bowman | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
Jose L Ramirez | Psychiatry | Southlake Community Mental Health Center Inc | 2600 Hwy Ave, Highland, IN 46322-1613 |
Sujittra Niyakorn | Family Medicine | Southlake Community Mental Health Center Inc | 4016 Hohman Ave, Hammond, IN 46327-1239 |
Prakash Varghese | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Joan A Wolford | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
Lynn A Smith | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
Deborah A Thompson | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
Patti J Leahy | Clinical Social Worker | Southlake Community Mental Health Center Inc | 8555 Taft St, Merrillville, IN 46410-6123 |
Street Address |
3903 INDIANAPOLIS BLVD |
City | EAST CHICAGO |
State | IN |
Zip | 46312-2555 |
Name | Specialty | Organization | Address |
---|---|---|---|
Prakash Varghese | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Frank Stirlacci | Internal Medicine | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Lolita O Ang | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Felicia L Sanford | Psychologist, Clinical | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Sheryl L Bolin | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Anthony S Pellegrini | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Janee S Ware | Family Medicine | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Amy Ann Burian | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
Name | Specialty | Organization | Address |
---|---|---|---|
Arvind K Kakodkar | Family Medicine | 3700 Main St, East Chicago, IN 46312-2224 | |
Sandra Renee Gates Manna | Nurse Practitioner | Nwi Home Doctor LLC | 3847 Euclid Ave, East Chicago, IN 46312-2332 |
Paul C Okolocha | Family Medicine | Nwi Home Doctor LLC | 3847 Euclid Ave, East Chicago, IN 46312-2332 |
James D Ferguson | Optometry | James D. Ferguson Od PC | 1820 E Columbus Dr, East Chicago, IN 46312-2826 |
Farzana A Khan | Psychiatry | 2010 E Columbus Dr, East Chicago, IN 46312-2830 | |
Jaime E Ruiz Montero | Internal Medicine | Community Care Network Inc | 2020 E Columbus Dr, Suite A, East Chicago, IN 46312-2830 |
Edward C Aririeri | Physical Therapy | 2010 E Columbus Dr, 1a, East Chicago, IN 46312-2830 | |
Julie A Mora | Family Medicine | Community Care Network Inc | 4035 Elm St, East Chicago, IN 46312-3042 |
David Kumpel | Certified Registered Nurse Anesthetist (crna) | St Catherine Hospital Inc | 4321 Fir St, East Chicago, IN 46312-3049 |
Avram N Estes | Emergency Medicine | Emergency Physician Associates of Indiana PC | 4321 Fir St, East Chicago, IN 46312-3049 |
Find all physicians in zip 46312 |
City | EAST CHICAGO |
Zip Code | 46312 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | EAST CHICAGO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Svetlana Medvedeva.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.