| Hope Psychiatric Services Pllc | |
|
9171 Lapeer Rd Ste 300 Davison MI 48423-3617 | |
| (248) 214-9638 | |
| Not Available |
| Full Name | Hope Psychiatric Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9171 Lapeer Rd Ste 300, Davison, Michigan |
| Authorized Official Name and Position | Mohammad Jafferany (AUTH OFFICIAL/OWNER) |
| Authorized Official Contact | 9896079232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Psychiatric Services Pllc 9171 Lapeer Rd Ste 300 Davison MI 48423-3617 Ph: () - | Hope Psychiatric Services Pllc 9171 Lapeer Rd Ste 300 Davison MI 48423-3617 Ph: (248) 214-9638 |
| NPI Number | 1801507264 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Medicare PECOS PAC ID | 7315317997 |
|---|---|
| Medicare Enrollment ID | O20221222000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801507264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Terry Lee Whyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053319863 PECOS PAC ID: 3678533510 Enrollment ID: I20041014000601 |
| Provider Name | Mohammad Jafferany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811008139 PECOS PAC ID: 9234217423 Enrollment ID: I20080429000566 |
| Provider Name | Angela Kay Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386396638 PECOS PAC ID: 5597132753 Enrollment ID: I20221101003067 |
| Provider Name | Alicia Guzman Pace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619750155 PECOS PAC ID: 9931562881 Enrollment ID: I20230825001223 |
| Provider Name | Angela Marie Dorr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609161371 PECOS PAC ID: 1153864491 Enrollment ID: I20240614003216 |
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