Provider Demographics
NPI:1922335231
Name:NEUROBEHAVIORAL MEDICINE CONSULTANTS PC INC
Entity Type:Organization
Organization Name:NEUROBEHAVIORAL MEDICINE CONSULTANTS PC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:MELHEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-968-7006
Mailing Address - Street 1:4697 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:43906-1303
Mailing Address - Country:US
Mailing Address - Phone:740-968-7006
Mailing Address - Fax:
Practice Address - Street 1:4697 HARRISON ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:43906-1303
Practice Address - Country:US
Practice Address - Phone:740-968-7006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810002232Medicaid
WV3810016540Medicaid
OH2314801Medicaid
OH3020519OtherMEDICAID PIN
OHP00804183OtherRR MEDICARE
OHME4057124Medicare UPIN
OH3020519OtherMEDICAID PIN