| Ascension Southeast Michigan Community Health | |
|
15590 W 9 Mile Rd Southfield MI 48075 | |
| (248) 849-5715 | |
| Not Available |
| Full Name | Ascension Southeast Michigan Community Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 15590 W 9 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Kenneth Coleman (DIRECTOR) |
| Authorized Official Contact | 2488495715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Southeast Michigan Community Health 7940 Solution Center Lock Box 777940 Chicago IL 60677-7009 Ph: (248) 680-8000 | Ascension Southeast Michigan Community Health 15590 W 9 Mile Rd Southfield MI 48075 Ph: (248) 849-5715 |
| NPI Number | 1235395195 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 3577843838 |
|---|---|
| Medicare Enrollment ID | O20161205000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235395195 | NPI | - | NPPES |
| Provider Name | Beena Nagappala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366434318 PECOS PAC ID: 0042295669 Enrollment ID: I20040618001341 |
| Provider Name | Jennifer D Bickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538463393 PECOS PAC ID: 9234301508 Enrollment ID: I20111010000233 |
| Provider Name | Tammie S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424209 PECOS PAC ID: 5597939702 Enrollment ID: I20111129000051 |
| Provider Name | Enovwo Emekpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720323413 PECOS PAC ID: 9830343334 Enrollment ID: I20130211000183 |
| Provider Name | Mia S Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295079895 PECOS PAC ID: 9931349883 Enrollment ID: I20130717000417 |
| Provider Name | Trey Marzloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780117986 PECOS PAC ID: 4385921238 Enrollment ID: I20170503000933 |
| Provider Name | Dorris N Nwamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134663222 PECOS PAC ID: 7113294422 Enrollment ID: I20170517000089 |
| Provider Name | Marie Shoulders-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851547038 PECOS PAC ID: 9830468461 Enrollment ID: I20170712003843 |
| Provider Name | Lenora Marie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124394259 PECOS PAC ID: 0547509572 Enrollment ID: I20190308000490 |
| Provider Name | Katherine Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336680693 PECOS PAC ID: 9436586690 Enrollment ID: I20200227001860 |
| Provider Name | Alyssa Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184293805 PECOS PAC ID: 6507238086 Enrollment ID: I20230209001286 |
| Provider Name | Jasmine Raena Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629586201 PECOS PAC ID: 0749654465 Enrollment ID: I20230321001091 |
| Provider Name | Lonnie Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679082671 PECOS PAC ID: 4880042035 Enrollment ID: I20231128002523 |
| Provider Name | Chandreika Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518211424 PECOS PAC ID: 5193173367 Enrollment ID: I20231128003268 |
| Provider Name | Lashella Savage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164890224 PECOS PAC ID: 9032467212 Enrollment ID: I20231129000602 |
| Provider Name | Kyra Stovall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538360615 PECOS PAC ID: 4486002680 Enrollment ID: I20231129000608 |
| Provider Name | Natasha L Selley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447815865 PECOS PAC ID: 8325496482 Enrollment ID: I20231129003514 |
| Provider Name | Mary Mcbratnie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780087411 PECOS PAC ID: 8224486337 Enrollment ID: I20231130001216 |
| Provider Name | Christopher Michael Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063849727 PECOS PAC ID: 9638527518 Enrollment ID: I20231204000975 |
Whole Body Health And Wellness Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17250 W 12 Mile Rd, Southfield, MI 48076 Phone: 248-632-6737 | |
Life Centers, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 W 9 Mile Rd Ste 200, Southfield, MI 48075 Phone: 248-579-2188 Fax: 248-715-5903 | |
Neurobehavioral Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29260 Franklin Rd, Suite 101, Southfield, MI 48034 Phone: 248-569-8700 Fax: 248-856-9373 | |
Christina L Shoemaker Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29540 Southfield Rd Ste 101, Southfield, MI 48076 Phone: 248-506-3399 | |
Ascension Providence Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16001 W. 9 Mile Road, Southfield, MI 48075 Phone: 243-349-3000 Fax: 248-746-0384 | |
Dahlia Berkovitz Phd Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 29623 Northwestern Hwy Lowr Level, Southfield, MI 48034 Phone: 248-760-8550 | |
I Need A Moment, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20411 Alhambra St, Southfield, MI 48076 Phone: 248-550-2725 |