| Aberdeen Group Llc | |
|
12948 Coldwater Rd Ste 101 Fort Wayne IN 46845-8016 | |
| (260) 373-0880 | |
| (260) 373-0881 |
| Full Name | Aberdeen Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 12948 Coldwater Rd Ste 101, Fort Wayne, Indiana |
| Authorized Official Name and Position | Thomas Dettmer (PSY.D. HSPP/ OWNER) |
| Authorized Official Contact | 2603730880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aberdeen Group Llc 12948 Coldwater Rd Ste 101 Fort Wayne IN 46845-8016 Ph: (260) 373-0880 | Aberdeen Group Llc 12948 Coldwater Rd Ste 101 Fort Wayne IN 46845-8016 Ph: (260) 373-0880 |
| NPI Number | 1124302237 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 5597922757 |
|---|---|
| Medicare Enrollment ID | O20120131000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124302237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Andrew James Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619992757 PECOS PAC ID: 5193907665 Enrollment ID: I20110305000093 |
| Provider Name | Thomas P Dettmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750519377 PECOS PAC ID: 5890952055 Enrollment ID: I20120221000045 |
| Provider Name | Kristine Discala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881833986 PECOS PAC ID: 0840574851 Enrollment ID: I20170310000592 |
| Provider Name | Rachel E Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639482862 PECOS PAC ID: 7911189444 Enrollment ID: I20171107000974 |
| Provider Name | Jason Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164738746 PECOS PAC ID: 0749638385 Enrollment ID: I20231121001084 |
| Provider Name | Jill L Hansen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336405406 PECOS PAC ID: 4082062559 Enrollment ID: I20231121002652 |
| Provider Name | Tina Marie Parker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104482678 PECOS PAC ID: 9032567565 Enrollment ID: I20231122000917 |
| Provider Name | Elizabeth Pictor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922515428 PECOS PAC ID: 7911355813 Enrollment ID: I20231204001763 |
| Provider Name | Gary Younghans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063743268 PECOS PAC ID: 8123478690 Enrollment ID: I20231223000416 |
| Provider Name | Richele Groeneweg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194109058 PECOS PAC ID: 0547610503 Enrollment ID: I20240103002073 |
| Provider Name | Anna Katherine Riggenbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831857069 PECOS PAC ID: 1850730037 Enrollment ID: I20240420000176 |
| Provider Name | Chelsea T Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871251967 PECOS PAC ID: 4284075318 Enrollment ID: I20240507003289 |
Prometheus Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10214 Chestnut Plaza Dr, Suite 130, Fort Wayne, IN 46814 Phone: 260-409-8188 | |
Christina Stapleton, L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10315 Dawsons Creek Blvd # 12, Fort Wayne, IN 46825 Phone: 260-387-6340 | |
Oaktree Guidance & Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 Phone: 260-570-4515 Fax: 260-209-0762 | |
Courageous Healing Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2013 S Anthony Blvd, Fort Wayne, IN 46803 Phone: 260-417-4801 | |
Raj Clinics Professional Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Airport North Office Park, Fort Wayne, IN 46825 Phone: 574-732-1166 Fax: 574-753-4117 | |
Sharon Mowrer Counseling And Consulting Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Magnavox Way, Suite 120, Fort Wayne, IN 46804 Phone: 260-760-8645 | |
A.w. Holdings, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Hursh Rd, Fort Wayne, IN 46845 Phone: 260-637-3608 |