| John A. Braccio, Ph.d., L.l.c. | |
|
1401 E Lansing Dr Ste 111 East Lansing MI 48823-2992 | |
| (517) 332-0153 | |
| (517) 332-2960 |
| Full Name | John A. Braccio, Ph.d., L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1401 E Lansing Dr Ste 111, East Lansing, Michigan |
| Authorized Official Name and Position | John A. Braccio (OWNER) |
| Authorized Official Contact | 5173320153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Braccio, Ph.d., L.l.c. 1401 E Lansing Dr Ste 111 East Lansing MI 48823-2992 Ph: (517) 332-0153 | John A. Braccio, Ph.d., L.l.c. 1401 E Lansing Dr Ste 111 East Lansing MI 48823-2992 Ph: (517) 332-0153 |
| NPI Number | 1164885612 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Medicare PECOS PAC ID | 9830498054 |
|---|---|
| Medicare Enrollment ID | O20160421002473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164885612 | NPI | - | NPPES |
| OC31931 | Other | MI | BLUE CROSS AND BLUE SHIELD PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301016571 (Michigan) | Primary |
| Provider Name | John A Braccio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053778589 PECOS PAC ID: 6103125315 Enrollment ID: I20160421002464 |
Rakhma Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Abbot Rd Ste 103, East Lansing, MI 48823 Phone: 517-574-4197 | |
Marvin Behavioral Health Mi Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 West Rd Ste 500, East Lansing, MI 48823 Phone: 617-249-6854 | |
Alchemy Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4060 Springer Way Apt 1512, East Lansing, MI 48823 Phone: 517-763-5815 Fax: 219-200-3367 | |
Empower Counseling And Consulting Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 780 W Lake Lansing Rd Ste 100, East Lansing, MI 48823 Phone: 517-930-4096 | |
Michigan Counseling And Referral Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1451 E Lansing Dr Ste 219, East Lansing, MI 48823 Phone: 269-350-3470 | |
Lansing Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5030 Northwind Dr Ste 140, East Lansing, MI 48823 Phone: 734-545-0332 | |
L.e.a.p Aba Therapy, Supervision And Consultation Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3978 Stirrup St, East Lansing, MI 48823 Phone: 269-589-9099 |