| Geriatric Psychiatric Services Pllc | |
|
1 Westbrook Corp Ctr Suite 300 Westchester IL 60154-5701 | |
| (708) 375-3075 | |
| (866) 227-7418 |
| Full Name | Geriatric Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Westbrook Corp Ctr, Westchester, Illinois |
| Authorized Official Name and Position | Robert A Clemente (ADMIN DIR.) |
| Authorized Official Contact | 5866208100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Psychiatric Services Pllc 39465 W 14 Mile Rd Novi MI 48377-1600 Ph: (877) 906-9699 | Geriatric Psychiatric Services Pllc 1 Westbrook Corp Ctr Suite 300 Westchester IL 60154-5701 Ph: (708) 375-3075 |
| NPI Number | 1124273826 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 6204837388 |
|---|---|
| Medicare Enrollment ID | O20090227000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124273826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Neil J Harwicke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841244308 PECOS PAC ID: 5092901017 Enrollment ID: I20101201001294 |
| Provider Name | Lina Liu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902178742 PECOS PAC ID: 3274792247 Enrollment ID: I20120310000008 |
| Provider Name | Anna K Zabiegly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508170622 PECOS PAC ID: 3072778091 Enrollment ID: I20120626000017 |
| Provider Name | Richard Lee Vaughn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801843818 PECOS PAC ID: 7719998012 Enrollment ID: I20210311000372 |
| Provider Name | Alexis M Westbrook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467036301 PECOS PAC ID: 1052700333 Enrollment ID: I20211106000156 |
| Provider Name | Carolyn A Kanagy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801121017 PECOS PAC ID: 8022145903 Enrollment ID: I20221208002400 |
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