| Infinity Consultation Group | |
|
156 W Washington Ave Zeeland MI 49464-1102 | |
| (833) 342-4552 | |
| Not Available |
| Full Name | Infinity Consultation Group |
|---|---|
| Speciality | Psychologist |
| Location | 156 W Washington Ave, Zeeland, Michigan |
| Authorized Official Name and Position | Bernice S Pattterson (OWNER) |
| Authorized Official Contact | 8333454552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Consultation Group Po Box 94 Nazareth MI 49074-0094 Ph: (833) 345-4552 | Infinity Consultation Group 156 W Washington Ave Zeeland MI 49464-1102 Ph: (833) 342-4552 |
| NPI Number | 1487246245 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 1850700253 |
|---|---|
| Medicare Enrollment ID | O20210623000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487246245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Brooke L Clifton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588849640 PECOS PAC ID: 9739262015 Enrollment ID: I20080208000509 |
| Provider Name | Sarah J Muench |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366679359 PECOS PAC ID: 0143475293 Enrollment ID: I20130221000413 |
| Provider Name | Bernice Patterson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1225383375 PECOS PAC ID: 2769891167 Enrollment ID: I20210623001029 |
| Provider Name | Mary Jo Baweja |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376285494 PECOS PAC ID: 2769859974 Enrollment ID: I20221101001183 |
| Provider Name | Danielle Acker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558719914 PECOS PAC ID: 2668816935 Enrollment ID: I20240215000871 |
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