| Matrix Human Services | |
|
120 Parsons St Detroit MI 48201-2002 | |
| (313) 831-1000 | |
| Not Available |
| Full Name | Matrix Human Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 120 Parsons St, Detroit, Michigan |
| Authorized Official Name and Position | Marcella Wilson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3138311000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Human Services 120 Parsons St Detroit MI 48201-2002 Ph: (313) 831-1000 | Matrix Human Services 120 Parsons St Detroit MI 48201-2002 Ph: (313) 831-1000 |
| NPI Number | 1073924585 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 04/29/2015 |
| Medicare PECOS PAC ID | 4183846546 |
|---|---|
| Medicare Enrollment ID | O20141119001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073924585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301088119 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Michelle Mccallister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346509932 PECOS PAC ID: 1951539626 Enrollment ID: I20140102001537 |
Bjc Counseling And Behavioral Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16175 Asbury Park, Detroit, MI 48235 Phone: 313-673-1992 | |
Center For Establishing Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Riverfront Dr Apt 2610, Detroit, MI 48226 Phone: 313-288-2689 | |
Community Social Services Of Wayne County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9851 Hamilton Ave, Detroit, MI 48202 Phone: 313-883-2339 Fax: 313-883-3957 | |
Emanuel T. Vanbolden, Phd, Lp, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Farnsworth St, Detroit, MI 48202 Phone: 313-577-2840 Fax: 313-577-8949 | |
Mindful Synergy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 W Grand Blvd Ste 1507, Detroit, MI 48202 Phone: 313-608-9512 Fax: 313-462-4829 | |
Embody Her Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Washington Blvd Ste 301, Detroit, MI 48226 Phone: 248-259-2562 | |
Ascension St John Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 |