| Hurley Clinical Psychiartists | |
|
1085 S Linden Rd Ste 150 Flint MI 48532 | |
| (810) 262-2100 | |
| Not Available |
| Full Name | Hurley Clinical Psychiartists |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1085 S Linden Rd Ste 150, Flint, Michigan |
| Authorized Official Name and Position | Kimberly Ecker (DIRECTOR OF PROFESSIONAL BILLING) |
| Authorized Official Contact | 8102579952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurley Clinical Psychiartists 1 Hurley Plz Attn Professional Billing Flint MI 48503-5902 Ph: (810) 262-9255 | Hurley Clinical Psychiartists 1085 S Linden Rd Ste 150 Flint MI 48532 Ph: (810) 262-2100 |
| NPI Number | 1457387201 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 2961308481 |
|---|---|
| Medicare Enrollment ID | O20040806000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457387201 | NPI | - | NPPES |
| 0B57747 | Other | MI | BLUE SHIELD |
| 750910736 | Other | MI | BS OPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 250040 (Michigan) | Primary |
| Provider Name | Scott James Nyman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538250675 PECOS PAC ID: 4688673007 Enrollment ID: I20061213000224 |
| Provider Name | Shannon Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831387257 PECOS PAC ID: 4284721804 Enrollment ID: I20071030000144 |
| Provider Name | Marcia E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215267257 PECOS PAC ID: 3971784562 Enrollment ID: I20110302000696 |
| Provider Name | Kirk J Stucky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922153980 PECOS PAC ID: 1153594049 Enrollment ID: I20111110000074 |
| Provider Name | Eileen M Mckee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699802660 PECOS PAC ID: 2567639594 Enrollment ID: I20120116000094 |
| Provider Name | Laurie J Novak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538372214 PECOS PAC ID: 9739348814 Enrollment ID: I20120308000597 |
| Provider Name | Rebecca Ellens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255689238 PECOS PAC ID: 3779889571 Enrollment ID: I20160303002173 |
| Provider Name | Brenda S Lepisto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982655239 PECOS PAC ID: 1254315203 Enrollment ID: I20160426001086 |
| Provider Name | Lauren M Golla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992237176 PECOS PAC ID: 3678802295 Enrollment ID: I20190906003044 |
| Provider Name | Natalie El-alam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417511395 PECOS PAC ID: 9436563269 Enrollment ID: I20210205001400 |
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