Michigan Behavioral Medicine Pllc | |
2525 Crooks Rd Suite #101 Troy MI 48084-4733 | |
(248) 731-7305 | |
Not Available |
Full Name | Michigan Behavioral Medicine Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2525 Crooks Rd, Troy, Michigan |
Authorized Official Name and Position | Rene Joseph (ADMINISTRATOR) |
Authorized Official Contact | 2487031897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michigan Behavioral Medicine Pllc 2525 Crooks Rd Suite #100 Troy MI 48084-1426 Ph: (248) 731-7305 | Michigan Behavioral Medicine Pllc 2525 Crooks Rd Suite #101 Troy MI 48084-4733 Ph: (248) 731-7305 |
NPI Number | 1144317116 |
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Provider Enumeration Date | 10/09/2006 |
Last Update Date | 05/28/2019 |
Medicare PECOS PAC ID | 8325069305 |
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Medicare Enrollment ID | O20051219000372 |
Identifier | Type | State | Issuer |
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1144317116 | NPI | - | NPPES |
10487 | Other | MA | BLUE CROSS NUMBER |
Provider Name | Shuja Haque |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427167378 PECOS PAC ID: 9335039817 Enrollment ID: I20040318000230 |
Provider Name | Manuel S Dumlao |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184683856 PECOS PAC ID: 6507844198 Enrollment ID: I20040709001293 |
Provider Name | Sharon B Garant |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033215033 PECOS PAC ID: 3072584903 Enrollment ID: I20040804000739 |
Provider Name | Carter Mead Schumacher |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1679798516 PECOS PAC ID: 9133175540 Enrollment ID: I20050329001009 |
Provider Name | Kalappurackal C Joseph |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922195999 PECOS PAC ID: 5092610725 Enrollment ID: I20051114000595 |
Provider Name | Jill Ann Allen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376729863 PECOS PAC ID: 5395820849 Enrollment ID: I20080310000022 |
Provider Name | Jackson Edwin Turner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316060114 PECOS PAC ID: 6709961626 Enrollment ID: I20080317000223 |
Provider Name | James R Stanislaw |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629254297 PECOS PAC ID: 1951488683 Enrollment ID: I20080404000765 |
Provider Name | Kathleen A Becker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386838274 PECOS PAC ID: 6305907544 Enrollment ID: I20081206000211 |
Provider Name | Mary Ann Corneliussen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366884272 PECOS PAC ID: 8224272919 Enrollment ID: I20130919000324 |
Provider Name | Jody L Khoury |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750534319 PECOS PAC ID: 2062772569 Enrollment ID: I20180201000070 |
Provider Name | Biju Poulose |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760876601 PECOS PAC ID: 1557663259 Enrollment ID: I20180613002022 |
Provider Name | Ronald M Liebman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649698135 PECOS PAC ID: 7012210495 Enrollment ID: I20180820001963 |
Provider Name | Peggy Zinser |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649829573 PECOS PAC ID: 3274864418 Enrollment ID: I20191018002034 |
Provider Name | Margarete M Shimshock |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568062263 PECOS PAC ID: 1557772860 Enrollment ID: I20201117002533 |
Provider Name | Justin A Coates |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275054330 PECOS PAC ID: 8527451301 Enrollment ID: I20220201000315 |
Provider Name | Jamie Duell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497245435 PECOS PAC ID: 4587057799 Enrollment ID: I20220211000628 |
Provider Name | Anne Herrick |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033466974 PECOS PAC ID: 6901287085 Enrollment ID: I20220720003176 |
Provider Name | Douglas Boersen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023741055 PECOS PAC ID: 8820461759 Enrollment ID: I20230223002641 |
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