| Children Assessment And Therapy Services Llc | |
|
21587 Whittington St Farmington Hills MI 48336-5764 | |
| (313) 506-5739 | |
| Not Available |
| Full Name | Children Assessment And Therapy Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 21587 Whittington St, Farmington Hills, Michigan |
| Authorized Official Name and Position | Kimberly A Alabi-isama (OWNER/ SOLE MEMBER) |
| Authorized Official Contact | 3135065739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children Assessment And Therapy Services Llc 21587 Whittington St Farmington Hills MI 48336-5764 Ph: (313) 506-5739 | Children Assessment And Therapy Services Llc 21587 Whittington St Farmington Hills MI 48336-5764 Ph: (313) 506-5739 |
| NPI Number | 1336871706 |
|---|---|
| Provider Enumeration Date | 06/25/2022 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 6204212160 |
|---|---|
| Medicare Enrollment ID | O20220929001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336871706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Odette A Ngalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194488858 PECOS PAC ID: 7719361120 Enrollment ID: I20221006001651 |
| Provider Name | Jonathan Figg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033535216 PECOS PAC ID: 0648572149 Enrollment ID: I20230309000362 |
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