| Heron Ridge Associates, Plc | |
|
31000 Telegraph Rd Suite 120 Bingham Farms MI 48025-4360 | |
| (248) 594-4991 | |
| (248) 391-7478 |
| Full Name | Heron Ridge Associates, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31000 Telegraph Rd, Bingham Farms, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, SECRETARY, TREASURER) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heron Ridge Associates, Plc 3694 Clarkston Rd Suite D Clarkston MI 48348-5213 Ph: (248) 693-8880 | Heron Ridge Associates, Plc 31000 Telegraph Rd Suite 120 Bingham Farms MI 48025-4360 Ph: (248) 594-4991 |
| NPI Number | 1013187541 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Medicare PECOS PAC ID | 2961303573 |
|---|---|
| Medicare Enrollment ID | O20040116000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013187541 | NPI | - | NPPES |
| 463240 | Other | MI | VALUE OPTIONS |
| 750910409 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 631056 (Michigan) | Primary |
| Provider Name | William L Guy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295748101 PECOS PAC ID: 3870581861 Enrollment ID: I20040506000688 |
| Provider Name | Cheryl Ann Albertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245443597 PECOS PAC ID: 6901879501 Enrollment ID: I20040812001224 |
| Provider Name | Peter C Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124010137 PECOS PAC ID: 5496779241 Enrollment ID: I20060119000205 |
| Provider Name | Derrick O Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417960030 PECOS PAC ID: 4183621766 Enrollment ID: I20061024000170 |
| Provider Name | Carol J Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902911126 PECOS PAC ID: 8729174883 Enrollment ID: I20071019000583 |
| Provider Name | Cristina Leclair |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679766240 PECOS PAC ID: 3476640012 Enrollment ID: I20071030000334 |
| Provider Name | Brenda Jean Pontillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699809541 PECOS PAC ID: 8527124015 Enrollment ID: I20090309000287 |
| Provider Name | Kathleen P Irvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033215058 PECOS PAC ID: 4284771932 Enrollment ID: I20091028000653 |
| Provider Name | Andrea N Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407145030 PECOS PAC ID: 6709054836 Enrollment ID: I20110715000601 |
| Provider Name | James M Rudy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316226772 PECOS PAC ID: 9234303843 Enrollment ID: I20111116000938 |
| Provider Name | Doris M Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538361779 PECOS PAC ID: 2365691524 Enrollment ID: I20121003000143 |
| Provider Name | Christina J Colf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184707929 PECOS PAC ID: 7012166069 Enrollment ID: I20121005000683 |
| Provider Name | Linda J Najar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336492479 PECOS PAC ID: 3375786742 Enrollment ID: I20130904000409 |
| Provider Name | David M Devellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851616197 PECOS PAC ID: 6305063652 Enrollment ID: I20140808001860 |
| Provider Name | Pearle E Bernick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356630982 PECOS PAC ID: 5991006777 Enrollment ID: I20151221001563 |
| Provider Name | Michelle L Kazmierski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639530967 PECOS PAC ID: 0244537488 Enrollment ID: I20160401001259 |
| Provider Name | Raphael D Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083060313 PECOS PAC ID: 4183914112 Enrollment ID: I20160603001366 |
| Provider Name | Renee M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538725106 PECOS PAC ID: 9931433869 Enrollment ID: I20190627000478 |
| Provider Name | Frances L Cartwright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629199823 PECOS PAC ID: 7517041353 Enrollment ID: I20190702002630 |
| Provider Name | Mariana Voica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295399475 PECOS PAC ID: 6002143898 Enrollment ID: I20190816002307 |
| Provider Name | Michael Charles Anton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104346402 PECOS PAC ID: 3274863790 Enrollment ID: I20190926001646 |
| Provider Name | Liliya Mironova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508407826 PECOS PAC ID: 2567898133 Enrollment ID: I20200130002745 |
| Provider Name | Lisa Tseggay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740638402 PECOS PAC ID: 1759672546 Enrollment ID: I20200731000999 |
| Provider Name | Steven M Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861914863 PECOS PAC ID: 3274962949 Enrollment ID: I20200806001986 |
| Provider Name | Kaitlin Paxton Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861962672 PECOS PAC ID: 5193139913 Enrollment ID: I20210205000867 |
| Provider Name | Gregory Paul Drozdowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245264043 PECOS PAC ID: 0345655759 Enrollment ID: I20210217001927 |
| Provider Name | Bradley May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649736703 PECOS PAC ID: 1658789599 Enrollment ID: I20210414001844 |
| Provider Name | Lisa Quaglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992298798 PECOS PAC ID: 9436558889 Enrollment ID: I20210604001356 |
| Provider Name | Mansi Sharadhumar Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609393735 PECOS PAC ID: 4486911005 Enrollment ID: I20210722002098 |
| Provider Name | Ethan I Milner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164773784 PECOS PAC ID: 5092196568 Enrollment ID: I20220714001730 |
| Provider Name | Jennifer Vogt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255797338 PECOS PAC ID: 4486001807 Enrollment ID: I20231107001793 |
| Provider Name | Lana Joan Hull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518404029 PECOS PAC ID: 9234587254 Enrollment ID: I20231214001540 |
| Provider Name | Lauren Herdrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407150303 PECOS PAC ID: 3375992241 Enrollment ID: I20231218002901 |
| Provider Name | Bethany Moulton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801373568 PECOS PAC ID: 5193175537 Enrollment ID: I20231227000935 |
| Provider Name | Janis Alousi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033733993 PECOS PAC ID: 3173974714 Enrollment ID: I20240109001280 |
| Provider Name | Staci Hissong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669710265 PECOS PAC ID: 1456796580 Enrollment ID: I20240228004483 |
| Provider Name | Lee Theodore Dreps |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952649865 PECOS PAC ID: 0749628543 Enrollment ID: I20240328003868 |
Specialists In Pediatric Neurology Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30400 Telegraph Rd Ste 350, Bingham Farms, MI 48025 Phone: 248-483-0345 Fax: 248-480-7230 | |
In Peace Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30400 Telegraph Rd, Suite 331, Bingham Farms, MI 48025 Phone: 248-645-5960 Fax: 248-645-0562 | |
Gateway Pediatric Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32100 Telegraph Rd, Suite 185, Bingham Farms, MI 48025 Phone: 248-494-2524 | |
Michigan Evaluations And Assessments, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31700 Telegraph Rd, Bingham Farms, MI 48025 Phone: 313-300-9918 | |
Acceptance Counseling And Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30150 Telegraph Rd Ste 245, Bingham Farms, MI 48025 Phone: 248-270-0172 | |
Physician Care Management Solutions Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30300 Telegraph Rd Ste 350, Bingham Farms, MI 48025 Phone: 248-686-1138 Fax: 248-434-4535 |