| Henry Ford Health System | |
|
2799 W Grand Blvd Detroit MI 48202-2608 | |
| (313) 916-2600 | |
| Not Available |
| Full Name | Henry Ford Health System |
|---|---|
| Speciality | Psychologist |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Kelly Ratowski (DIRECTOR OFFICE OF PROVIDER AFFAIRS) |
| Authorized Official Contact | 2487032003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 | Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 |
| NPI Number | 1114001468 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 0547178311 |
|---|---|
| Medicare Enrollment ID | O20031111000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114001468 | NPI | - | NPPES |
| Provider Name | John A Dooley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982681573 PECOS PAC ID: 2365410172 Enrollment ID: I20040920000964 |
| Provider Name | Rebecca A Baird |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144344128 PECOS PAC ID: 7517906514 Enrollment ID: I20050428001042 |
| Provider Name | Shibany Taormina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487691978 PECOS PAC ID: 6608882907 Enrollment ID: I20060223000474 |
| Provider Name | Angela Argento |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891824561 PECOS PAC ID: 3779686670 Enrollment ID: I20070314000254 |
| Provider Name | Brad M Merker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780801514 PECOS PAC ID: 6709973977 Enrollment ID: I20071105000313 |
| Provider Name | Michael A Czarnota |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699884429 PECOS PAC ID: 4688746126 Enrollment ID: I20080709000055 |
| Provider Name | Philip Lanzisera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093863680 PECOS PAC ID: 0345373775 Enrollment ID: I20100805000026 |
| Provider Name | Debra J Macklem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659603280 PECOS PAC ID: 2860517547 Enrollment ID: I20100917000907 |
| Provider Name | Tracey Torosian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962531335 PECOS PAC ID: 1355527573 Enrollment ID: I20110523000671 |
| Provider Name | Michael E Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972882009 PECOS PAC ID: 2365611951 Enrollment ID: I20110817000146 |
| Provider Name | Brent A Funk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053659482 PECOS PAC ID: 1052556800 Enrollment ID: I20130326000521 |
| Provider Name | Jannel M Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104939107 PECOS PAC ID: 8628176377 Enrollment ID: I20140127000310 |
| Provider Name | Daniel Blake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992749089 PECOS PAC ID: 9234361841 Enrollment ID: I20140414001916 |
| Provider Name | Adrianna J Zec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508274572 PECOS PAC ID: 9234356551 Enrollment ID: I20140811001499 |
| Provider Name | Kelly L Bryce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538594692 PECOS PAC ID: 0547480030 Enrollment ID: I20141006000298 |
| Provider Name | Olga M Slavin-spenny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578839585 PECOS PAC ID: 9133447915 Enrollment ID: I20150407000449 |
| Provider Name | Amy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922441856 PECOS PAC ID: 9537474424 Enrollment ID: I20150821013101 |
| Provider Name | Maren E Hyde Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164806832 PECOS PAC ID: 2163738899 Enrollment ID: I20150826001214 |
| Provider Name | Maunda Snodgrass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255760617 PECOS PAC ID: 2668776592 Enrollment ID: I20160212000929 |
| Provider Name | Aaron J Hamann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083952824 PECOS PAC ID: 1153616891 Enrollment ID: I20160819002177 |
| Provider Name | Antu Segal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679923908 PECOS PAC ID: 2961798020 Enrollment ID: I20160915002519 |
| Provider Name | Kathryn Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235423104 PECOS PAC ID: 3870760952 Enrollment ID: I20161012001111 |
| Provider Name | Maggie Gindlesperger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346573243 PECOS PAC ID: 7113215666 Enrollment ID: I20161017000377 |
| Provider Name | Erin Tobin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134658172 PECOS PAC ID: 6800165838 Enrollment ID: I20170707001556 |
| Provider Name | David A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659511194 PECOS PAC ID: 4486924370 Enrollment ID: I20170726000932 |
| Provider Name | Kellie M Martens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780107029 PECOS PAC ID: 8729350145 Enrollment ID: I20170821000941 |
| Provider Name | Taisel H Losada |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902397649 PECOS PAC ID: 0840541835 Enrollment ID: I20181002001423 |
| Provider Name | Anne K Eshelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467500058 PECOS PAC ID: 3678698529 Enrollment ID: I20181106001605 |
| Provider Name | Dana R Connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720585201 PECOS PAC ID: 4284988494 Enrollment ID: I20181106002469 |
| Provider Name | Victorio M Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376691964 PECOS PAC ID: 4082947312 Enrollment ID: I20190531000747 |
| Provider Name | Megan K Ramthun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407450406 PECOS PAC ID: 0345652186 Enrollment ID: I20201218001463 |
| Provider Name | Maya Pinjala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376111377 PECOS PAC ID: 3577960129 Enrollment ID: I20210923002341 |
| Provider Name | Jameel M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346521135 PECOS PAC ID: 7113310475 Enrollment ID: I20220209000519 |
| Provider Name | Carly Brescacin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821748914 PECOS PAC ID: 7214315696 Enrollment ID: I20220526001768 |
| Provider Name | Marwa Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881313377 PECOS PAC ID: 1456737824 Enrollment ID: I20221008000192 |
| Provider Name | David Addison Kalmbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255076279 PECOS PAC ID: 4284001538 Enrollment ID: I20221031001023 |
| Provider Name | Michael Evitts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235703000 PECOS PAC ID: 1254718687 Enrollment ID: I20230606002522 |
| Provider Name | Shelly Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932775376 PECOS PAC ID: 4284011610 Enrollment ID: I20230715000430 |
| Provider Name | Seth Swary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699492959 PECOS PAC ID: 1456702786 Enrollment ID: I20240110004099 |
| Provider Name | Jill Sattler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366542094 PECOS PAC ID: 3375994486 Enrollment ID: I20240112001315 |
| Provider Name | Jacquelyn N Buffo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104231729 PECOS PAC ID: 9638522832 Enrollment ID: I20240124001008 |
| Provider Name | Kimberly Wisniewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851462543 PECOS PAC ID: 1759734510 Enrollment ID: I20240129000282 |
| Provider Name | Sarah Boyce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063991016 PECOS PAC ID: 7618320920 Enrollment ID: I20240201003783 |
| Provider Name | Kelly Queen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861590283 PECOS PAC ID: 6800818048 Enrollment ID: I20240220003248 |
| Provider Name | Bryan B Granger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073974234 PECOS PAC ID: 4284079104 Enrollment ID: I20240301002523 |
| Provider Name | Michael Hinkson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922162940 PECOS PAC ID: 6406293844 Enrollment ID: I20240321001606 |
Bjc Counseling And Behavioral Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16175 Asbury Park, Detroit, MI 48235 Phone: 313-673-1992 | |
Center For Establishing Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Riverfront Dr Apt 2610, Detroit, MI 48226 Phone: 313-288-2689 | |
Community Social Services Of Wayne County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9851 Hamilton Ave, Detroit, MI 48202 Phone: 313-883-2339 Fax: 313-883-3957 | |
Emanuel T. Vanbolden, Phd, Lp, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Farnsworth St, Detroit, MI 48202 Phone: 313-577-2840 Fax: 313-577-8949 | |
Mindful Synergy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 W Grand Blvd Ste 1507, Detroit, MI 48202 Phone: 313-608-9512 Fax: 313-462-4829 | |
Embody Her Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Washington Blvd Ste 301, Detroit, MI 48226 Phone: 248-259-2562 | |
Ascension St John Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 |