| A New Focus Psychological Services, P.c. | |
|
1411 S. Woodland Avenue Suite B Michigan City IN 46360 | |
| (219) 879-8580 | |
| Not Available |
| Full Name | A New Focus Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1411 S. Woodland Avenue, Michigan City, Indiana |
| Authorized Official Name and Position | Joseph Francis Gazarkieiwcz (CLINICAL PSYCHOLOGIST / PRESIDENT) |
| Authorized Official Contact | 2198798580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Focus Psychological Services, P.c. 1411 S. Woodland Avenue Suite B Michigan City IN 46360 Ph: (219) 879-8580 | A New Focus Psychological Services, P.c. 1411 S. Woodland Avenue Suite B Michigan City IN 46360 Ph: (219) 879-8580 |
| NPI Number | 1174897003 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/23/2012 |
| Medicare PECOS PAC ID | 8022323625 |
|---|---|
| Medicare Enrollment ID | O20150811005346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174897003 | NPI | - | NPPES |
| 200958610 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042249A (Indiana) | Primary |
| Provider Name | Joseph F Gazarkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548595796 PECOS PAC ID: 9931414539 Enrollment ID: I20150811005727 |
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