| American Institute Of Neurological Disorders | |
|
18535 W 12 Mile Rd Suite A Lathrup Village MI 48076-2676 | |
| (248) 552-3734 | |
| (248) 552-3736 |
| Full Name | American Institute Of Neurological Disorders |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18535 W 12 Mile Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Neil Gilbert (PRESIDENT) |
| Authorized Official Contact | 2485523734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Institute Of Neurological Disorders 18535 W 12 Mile Rd Suite A Lathrup Village MI 48076-2676 Ph: (248) 552-3734 | American Institute Of Neurological Disorders 18535 W 12 Mile Rd Suite A Lathrup Village MI 48076-2676 Ph: (248) 552-3734 |
| NPI Number | 1376625533 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 0244312387 |
|---|---|
| Medicare Enrollment ID | O20080129000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376625533 | NPI | - | NPPES |
| 1106303932 | Other | MI | BCBS |
| 1106303932 | Other | MI | BLUE CARE NETWORK |
| 130F338870 | Other | MI | BC/BS |
| 12440 | Other | MI | CAPE HEALTH PLAN |
| 4717514 | Medicaid | MI | |
| H89219 | Other | MI | HAP |
| 130F338870 | Other | MI | BCN |
| 146353 | Other | MI | GREAT LAKES HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301072532 (Michigan) | Primary |
| Provider Name | Neil J Gilbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053371658 PECOS PAC ID: 7315836426 Enrollment ID: I20040315000797 |
| Provider Name | Kendra N Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538655113 PECOS PAC ID: 2062764780 Enrollment ID: I20181008003512 |
| Provider Name | Christina Ani Akaraz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710547823 PECOS PAC ID: 2668703299 Enrollment ID: I20191014001757 |
| Provider Name | Merryl Nambiathusseril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861078669 PECOS PAC ID: 3274940598 Enrollment ID: I20210401001125 |
| Provider Name | Jordan Taylor Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568136950 PECOS PAC ID: 3678961380 Enrollment ID: I20211029001793 |
| Provider Name | Manit Pahuja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124768361 PECOS PAC ID: 7416326855 Enrollment ID: I20221207001543 |
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