Dr Harriet J Mall, PHD is a medicare enrolled "Psychologist - Clinical" provider in Farmington Hills, Michigan. She graduated from healthcare school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
30445 Northwestern Hwy, Suite #240, Farmington Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 538-5045.
Dr Harriet J Mall is licensed to practice in Michigan (license number 6301008104) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558441840.
Healthcare Provider's Profile
| Full Name | Dr Harriet J Mall |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 30445 Northwestern Hwy, Farmington Hills, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Harriet J Mall graduated from medical school in 1999
NPI Data:
- NPI Number: 1558441840
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325049729
- Enrollment ID: I20070129000318
Medical Identifiers
Medical identifiers for Dr Harriet J Mall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558441840 | NPI | - | NPPES |
| 11643507 | Other | MI | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 6401005154 (Michigan) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301008104 (Michigan) | Secondary |
| 103T00000X | Psychologist | 6301008104 (Michigan) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 6301008104 (Michigan) | Secondary |
| 103TF0000X | Psychologist - Family | 6301008104 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301008104 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Harriet J Mall allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Enterprises,p.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760545065
PECOS PAC ID: 3971504374
Enrollment ID: O20070129000125 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Harriet J Mall is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Harriet J Mall, PHD
30445 Northwestern Hwy, Ste 310,
Farmington Hills, MI 48334-3102
Ph: (248) 538-5045 | Dr Harriet J Mall, PHD
30445 Northwestern Hwy, Suite #240,
Farmington Hills, MI 48334-3158
Ph: (248) 538-5045 |
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