| Michigan Clinical Research Institute Pc | |
|
3001 Plymouth Rd Ann Arbor MI 48105-3205 | |
| (734) 834-8954 | |
| (734) 780-7506 |
| Full Name | Michigan Clinical Research Institute Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3001 Plymouth Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Rajaprabhakaran Rajarethinam (PRESIDENT) |
| Authorized Official Contact | 7348462898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Clinical Research Institute Pc 3001 Plymouth Rd Ann Arbor MI 48105-3205 Ph: (734) 834-8954 | Michigan Clinical Research Institute Pc 3001 Plymouth Rd Ann Arbor MI 48105-3205 Ph: (734) 834-8954 |
| NPI Number | 1528453487 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 03/30/2015 |
| Medicare PECOS PAC ID | 3779894779 |
|---|---|
| Medicare Enrollment ID | O20150617001953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528453487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301064033 (Michigan) | Primary |
| Provider Name | Rajaprabhakaran Rajarethinam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427095918 PECOS PAC ID: 4880606128 Enrollment ID: I20060703000066 |
| Provider Name | Geetha Dhatreecharan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528210556 PECOS PAC ID: 2264591031 Enrollment ID: I20081107000563 |
| Provider Name | Gwendolyn La Croix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801343942 PECOS PAC ID: 9537443742 Enrollment ID: I20170308001087 |
| Provider Name | Michelle R Kehrmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033636188 PECOS PAC ID: 2769749126 Enrollment ID: I20171120003803 |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
Mcevilly Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St # St360, Ann Arbor, MI 48104 Phone: 248-736-7251 | |
Andrea Dewey Lmsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St Ste 330, Ann Arbor, MI 48104 Phone: 734-255-2990 | |
Enlightened Serenity Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 W Stadium Blvd # 3459, Ann Arbor, MI 48103 Phone: 734-352-7398 | |
Lauren V. Kachorek, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Suffolk St, Ann Arbor, MI 48103 Phone: 248-867-4550 | |
Rachel Sienko Lp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 E Stadium Blvd Ste 212-3, Ann Arbor, MI 48104 Phone: 810-279-0149 |