Dagoberto Heredia (NPI# 1558395467, PAC ID# 5698765451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1558395467 |
| PAC ID by PECOS | 5698765451 |
| Professional Enrollment ID | I20040513001213 |
| Full Name | Dagoberto Heredia |
| Organization Legal Name | VALEO BEHAVIORAL HEALTH CARE INC |
| Address |
400 Sw Frazier Sharp House Topeka KS 66606-1912 |
| Phone Number | 7853547151 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 0446164321 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171314 | FW HUSTON MEDICAL CENTER |
| 171354 | COMMUNITY HOSPITAL, ONAGA AND ST MARYS CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2914 Sw Plass Ct D, Topeka, KS 66611-1925 | 7852337138 | NEW BEGINNINGS HEALTH CARE, P.A. |
| 330 Sw Oakley Ave, Topeka, KS 66606-1995 | 7852331730 | VALEO BEHAVIORAL HEALTH CARE INC |
| 400 Sw Frazier, Sharp House, Topeka, KS 66606-1912 | 7853547151 | VALEO BEHAVIORAL HEALTH CARE INC |
| Organization Legal Name | VALEO BEHAVIORAL HEALTH CARE INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Rivera | Clinical Social Worker | Valeo Behavioral Health Care Inc | 400 Sw Oakley, Crisis Center, Topeka, KS 66606-2039 |
| Donna Park | Clinical Social Worker | Valeo Behavioral Health Care Inc | 2401 Sw 6th Ave, Topeka, KS 66606-1786 |
| Marsha J Bacote-alleyne | Clinical Nurse Specialist | Valeo Behavioral Health Care Inc | 330 Sw Oakley, Topeka, KS 66608-1995 |
| Shelley Endsley Killinger | Clinical Social Worker | Valeo Behavioral Health Care Inc | 2401 Sw 6th St, Topeka, KS 66606-1786 |
| Delaine Ray Smith | Nurse Practitioner | Valeo Behavioral Health Care Inc | 330 Sw Oakley Ave, Topeka, KS 66606-1995 |
| Ludy Sapp | Clinical Social Worker | Valeo Behavioral Health Care Inc | 2221 Sw 6th St, The Residence, Topeka, KS 66606-1785 |
| Haskel W Chaffin Jr. | Clinical Social Worker | Valeo Behavioral Health Care Inc | 400 Sw Oakley, Crisis Center, Topeka, KS 66606-2039 |
| Laura N Sidlinger | Nurse Practitioner | Valeo Behavioral Health Care Inc | 330 Sw Oakley Ave, Topeka, KS 66606-1995 |
| Sarah Kassin | Nurse Practitioner | Valeo Behavioral Health Care Inc | 330 Sw Oakley Ave, Topeka, KS 66606-1995 |
| Donita P Ingenthron | Clinical Social Worker | Valeo Behavioral Health Care Inc | 400 Sw Oakley, Crisis Center, Topeka, KS 66606-2039 |
| Street Address |
400 SW FRAZIER SHARP HOUSE |
| City | TOPEKA |
| State | KS |
| Zip | 66606-1912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Henderlong | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Michael L Smith | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Amy Lee Newbery | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Peter S Lepse | Orthopedic Surgery | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Amanda Platt | Qualified Speech Language Pathologist | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| James A Holland | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Ryan James Tomlins | Sports Medicine | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Kerry Lynne Smalley | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Andrew J Replogle | Physical Therapy | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Chia-hsun Tsai | Anesthesiology | Cotton Oneil Clinic Revocable Trust | 2660 Sw 3rd St, Topeka, KS 66606-0000 |
| Find all physicians in zip 66606 | |||
| City | TOPEKA |
| Zip Code | 66606 |
| Specialty | PSYCHIATRY |
| City + Specialty | TOPEKA + PSYCHIATRY |
Please comment or provide details below to improve the information on Dagoberto Heredia.
| 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.