| Mood Mental Health Plc | |
|
3681 Okemos Rd Ste 500 Okemos MI 48864-6923 | |
| (517) 528-5787 | |
| Not Available |
| Full Name | Mood Mental Health Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3681 Okemos Rd Ste 500, Okemos, Michigan |
| Authorized Official Name and Position | Samantha Middleton (AUTHORIZED AGENT) |
| Authorized Official Contact | 9898997065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mood Mental Health Plc 3681 Okemos Rd Ste 500 Okemos MI 48864-6923 Ph: (517) 528-5787 | Mood Mental Health Plc 3681 Okemos Rd Ste 500 Okemos MI 48864-6923 Ph: (517) 528-5787 |
| NPI Number | 1205675279 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 5193261543 |
|---|---|
| Medicare Enrollment ID | O20240723000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205675279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jose Javier Herrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841452604 PECOS PAC ID: 9931365442 Enrollment ID: I20120727000767 |
| Provider Name | Alberto Tamayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548882665 PECOS PAC ID: 2365803335 Enrollment ID: I20230807003787 |
| Provider Name | Morgan George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508625211 PECOS PAC ID: 8527504554 Enrollment ID: I20240725002563 |
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