| Interact Of Michigan, Inc | |
|
610 South Burdick St Kalamazoo MI 49007-5221 | |
| (269) 381-3700 | |
| (269) 381-3810 |
| Full Name | Interact Of Michigan, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 South Burdick St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Heather Parker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2693813700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interact Of Michigan, Inc 610 South Burdick St Kalamazoo MI 49007-5221 Ph: (269) 381-3700 | Interact Of Michigan, Inc 610 South Burdick St Kalamazoo MI 49007-5221 Ph: (269) 381-3700 |
| NPI Number | 1760419691 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 9436104932 |
|---|---|
| Medicare Enrollment ID | O20050705000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760419691 | NPI | - | NPPES |
| 104990337 | Medicaid | MI | |
| 104749966 | Medicaid | MI | |
| 104934875 | Medicaid | MI | |
| 1760419691 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ravinder P Mediratta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003991191 PECOS PAC ID: 7416842414 Enrollment ID: I20040603000448 |
| Provider Name | Catherine M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295757623 PECOS PAC ID: 6002831500 Enrollment ID: I20051013000672 |
| Provider Name | Andrea M Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548449150 PECOS PAC ID: 6103907225 Enrollment ID: I20080115000500 |
| Provider Name | Raquel L Deanda-ring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245491760 PECOS PAC ID: 1850463282 Enrollment ID: I20080630000672 |
| Provider Name | Gwendolyn Abney-cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699883504 PECOS PAC ID: 8820280969 Enrollment ID: I20101007001380 |
| Provider Name | Victoria E Cane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497942627 PECOS PAC ID: 7214190065 Enrollment ID: I20120515000516 |
| Provider Name | Margot Lynne Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619213451 PECOS PAC ID: 8628203205 Enrollment ID: I20131107000807 |
| Provider Name | Lyndsay R Nuyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801205315 PECOS PAC ID: 0244551547 Enrollment ID: I20150611000378 |
| Provider Name | Jennifer L Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710391347 PECOS PAC ID: 8224349543 Enrollment ID: I20150612000990 |
| Provider Name | Carey A Cutcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326305871 PECOS PAC ID: 6800101528 Enrollment ID: I20150810002536 |
| Provider Name | Sarah Exoo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912259748 PECOS PAC ID: 6204141930 Enrollment ID: I20150810002762 |
| Provider Name | Alexandra M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942581731 PECOS PAC ID: 6002107596 Enrollment ID: I20160613002151 |
| Provider Name | Rachelle G Bosma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023404134 PECOS PAC ID: 7315212396 Enrollment ID: I20170929002788 |
| Provider Name | Karalyn A Prickett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225397474 PECOS PAC ID: 4183989825 Enrollment ID: I20180529002990 |
| Provider Name | Molly R Cohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043601776 PECOS PAC ID: 2062769417 Enrollment ID: I20180717002906 |
| Provider Name | Rochelle N Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467926592 PECOS PAC ID: 1557601853 Enrollment ID: I20190325000789 |
| Provider Name | Brandon M Goeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427402999 PECOS PAC ID: 0042549826 Enrollment ID: I20190903002834 |
| Provider Name | Sherry Byers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538510136 PECOS PAC ID: 4183032774 Enrollment ID: I20210420002321 |
| Provider Name | Ann Cudney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396384426 PECOS PAC ID: 7618385055 Enrollment ID: I20210422003106 |
True2u Counseling Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4000 Portage St Ste 111, Kalamazoo, MI 49001 Phone: 269-365-0128 | |
Dawn Wood Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3503 Greenleaf Blvd Ste 202, Kalamazoo, MI 49008 Phone: 269-808-0160 | |
David L. Thayer, Psy.d.,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W South St, Suite D, Kalamazoo, MI 49007 Phone: 269-501-3493 Fax: 269-344-5973 | |
Barbara W. Gustin, Lmsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2001 Hudson Ave, Kalamazoo, MI 49008 Phone: 269-352-6644 | |
Jennifer Langeland Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S Rose St Apt 401, Kalamazoo, MI 49007 Phone: 269-330-4695 | |
Rootead Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Fulford St, Kalamazoo, MI 49001 Phone: 269-358-8670 | |
Restorative Solutions Counseling And Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2031 Rambling Rd Ste 1, Kalamazoo, MI 49008 Phone: 269-224-2791 |