| Common Ground | |
|
1200 N Telegraph Rd Pontiac MI 48341-1032 | |
| (248) 456-3780 | |
| (248) 456-8156 |
| Full Name | Common Ground |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1200 N Telegraph Rd, Pontiac, Michigan |
| Authorized Official Name and Position | Heather Rae (CEO/PRESIDENT) |
| Authorized Official Contact | 2484568150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Ground 1410 S Telegraph Rd Bloomfield Hills MI 48302-0046 Ph: (248) 451-3780 | Common Ground 1200 N Telegraph Rd Pontiac MI 48341-1032 Ph: (248) 456-3780 |
| NPI Number | 1225100944 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 01/08/2018 |
| Medicare PECOS PAC ID | 5395633606 |
|---|---|
| Medicare Enrollment ID | O20040309000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225100944 | NPI | - | NPPES |
| 70-0-F3-75555-0 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Venkata R Jasty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184661670 PECOS PAC ID: 6608861844 Enrollment ID: I20040417000267 |
| Provider Name | John W Head |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750393690 PECOS PAC ID: 6305833534 Enrollment ID: I20061010000043 |
| Provider Name | Delores Hearst-colbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053729772 PECOS PAC ID: 4880992064 Enrollment ID: I20160421001106 |
| Provider Name | Stephanie Y Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912414756 PECOS PAC ID: 7911260484 Enrollment ID: I20180416000184 |
| Provider Name | Shanea Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144844143 PECOS PAC ID: 3476968843 Enrollment ID: I20210217000282 |
| Provider Name | Lindsay Kastelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336733351 PECOS PAC ID: 2163821273 Enrollment ID: I20210521001805 |
| Provider Name | Sierra Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265904460 PECOS PAC ID: 0446637771 Enrollment ID: I20220506000857 |
| Provider Name | Noor Al-omari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821611567 PECOS PAC ID: 1850775479 Enrollment ID: I20220831002212 |
Honor Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N Telegraph Rd, Building 87, Pontiac, MI 48341 Phone: 248-724-7435 | |
Brookside Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Iroquois Rd, Pontiac, MI 48341 Phone: 248-390-5919 | |
Michigan Institute Of Neurology And Epilepsy Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44555 Woodward Ave Ste 104, Pontiac, MI 48341 Phone: 248-858-6104 Fax: 248-858-6115 | |
Euro Therapies Intensive Pt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Centerpoint Pkwy, Pontiac, MI 48341 Phone: 248-857-6776 Fax: 248-857-7102 | |
Oakland Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
North Oakland Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 W Huron St, Psychiatric Unit, Pontiac, MI 48341 Phone: 248-857-7200 | |
Ennis Center For Children, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 S Telegraph Rd, Pontiac, MI 48341 Phone: 248-334-2715 |