| Brainwise Psychotherapy Pllc | |
|
555 W Crosstown Pkwy Ste 401 Kalamazoo MI 49008-1980 | |
| (269) 389-9502 | |
| (269) 360-4806 |
| Full Name | Brainwise Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 555 W Crosstown Pkwy Ste 401, Kalamazoo, Michigan |
| Authorized Official Name and Position | Bethany Vinatieri (OWNER) |
| Authorized Official Contact | 9516753590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainwise Psychotherapy Pllc Po Box 3272 Saginaw MI 48605-3272 Ph: () - | Brainwise Psychotherapy Pllc 555 W Crosstown Pkwy Ste 401 Kalamazoo MI 49008-1980 Ph: (269) 389-9502 |
| NPI Number | 1194570267 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 5294177622 |
|---|---|
| Medicare Enrollment ID | O20240530001483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194570267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bethany Vinatieri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053743385 PECOS PAC ID: 6507176575 Enrollment ID: I20151103000902 |
| Provider Name | April Christine Davenport |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639638182 PECOS PAC ID: 0840605838 Enrollment ID: I20210225001837 |
| Provider Name | Steven Arthur Yankoviak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407213119 PECOS PAC ID: 1658724505 Enrollment ID: I20240127000557 |
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