Kisook Paik Chang (NPI# 1205992757, PAC ID# 1759417033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1205992757 |
| PAC ID by PECOS | 1759417033 |
| Professional Enrollment ID | I20100325000518 |
| Full Name | Kisook Paik Chang |
| Organization Legal Name | INTEGRATED BEHAVIORAL HEALTHCARE SERVICES, PA |
| Address |
2577 Ravenhill Dr Fayetteville NC 28303-5451 |
| Phone Number | 9104380947 |
| Gender | F |
| Graduation Year | 1961 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8729040316 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 | 9104380947 | INTEGRATED BEHAVIORAL HEALTHCARE SERVICES, PA |
| Organization Legal Name | INTEGRATED BEHAVIORAL HEALTHCARE SERVICES, PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasandra C Anspach Sportsman | Clinical Social Worker | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Kelly Wilkins | Nurse Practitioner | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Muhammad W Haq | Family Medicine | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Douglas R Parrish | Clinical Social Worker | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Juanita Harding | Clinical Social Worker | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Mark S Chandler | Psychiatry | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Street Address |
2577 RAVENHILL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28303-5451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasandra C Anspach Sportsman | Clinical Social Worker | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Carolie T Atherton | Clinical Social Worker | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 | |
| Kelly Wilkins | Nurse Practitioner | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Muhammad W Haq | Family Medicine | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Douglas R Parrish | Clinical Social Worker | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Juanita Harding | Clinical Social Worker | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Mark S Chandler | Psychiatry | Integrated Behavioral Healthcare Services, Pa | 2577 Ravenhill Dr, Fayetteville, NC 28303-5451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Ray Royal | Chiropractic | 532 A N Mcpherson Church Rd, Fayetteville, NC 28303-0278 | |
| Rowland N Pickett | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Nancy J Hunt | Occupational Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Shanna Scott Thurman | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Joseph Murphy | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Kristopher Rashard Williams | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Alexa Marie Gortian | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Anthony Disalvo | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Le-ann G Mancio | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Tremayne T Thurman | Occupational Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Find all physicians in zip 28303 | |||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
| Specialty | PSYCHIATRY |
| City + Specialty | FAYETTEVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Kisook Paik Chang.
| 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.