| Imagine Center Llc | |
|
100 Maincentre Ste. 16 Northville MI 48167-1578 | |
| (313) 354-3920 | |
| (313) 656-4052 |
| Full Name | Imagine Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 100 Maincentre, Northville, Michigan |
| Authorized Official Name and Position | Michael Edward Behen (CLINICAL PSYCHOLOGIST/DIRECTOR) |
| Authorized Official Contact | 3133543920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Center Llc 100 Maincentre Ste. 16 Northville MI 48167-1578 Ph: (313) 354-3920 | Imagine Center Llc 100 Maincentre Ste. 16 Northville MI 48167-1578 Ph: (313) 354-3920 |
| NPI Number | 1467899666 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Medicare PECOS PAC ID | 6507167624 |
|---|---|
| Medicare Enrollment ID | O20151215001703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467899666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301013057 (Michigan) | Primary |
| Provider Name | Michael E Behen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760407696 PECOS PAC ID: 5496845554 Enrollment ID: I20090120000125 |
Cheryl Lynn Podolski Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 N Center St, Northville, MI 48167 Phone: 248-974-6449 | |
Dashi Rivers Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41820 6 Mile Rd Ste 101, Northville, MI 48168 Phone: 734-239-8931 | |
Balanced Harmony Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42649 Savoy Ct, Northville, MI 48167 Phone: 248-231-2294 | |
Crescent Roots Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Center St Ste 202, Northville, MI 48167 Phone: 630-313-2575 | |
Compass Family Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21800 Haggerty Rd, Suite 205, Northville, MI 48167 Phone: 248-773-4560 Fax: 248-735-1010 | |
Diane G Russell Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Griswold St, Suite 300, Northville, MI 48167 Phone: 248-996-5383 Fax: 586-773-6093 | |
Raveau Psychology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19202 Windridge Dr, Northville, MI 48167 Phone: 248-605-5402 |