|
| |
|
2399 E Walton Blvd Auburn Hills MI 48326-1955 | |
| (248) 475-6300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2399 E Walton Blvd, Auburn Hills, Michigan |
| Authorized Official Name and Position | Brent Wirth (PRESIDENT & CEO) |
| Authorized Official Contact | 2484756400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2399 E Walton Blvd Auburn Hills MI 48326-1955 Ph: (586) 263-8700 | 2399 E Walton Blvd Auburn Hills MI 48326-1955 Ph: (248) 475-6300 |
| NPI Number | 1023199965 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 9133039241 |
|---|---|
| Medicare Enrollment ID | O20070221000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023199965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kyle G Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184663726 PECOS PAC ID: 9234026840 Enrollment ID: I20040228000530 |
| Provider Name | Richard E James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750325262 PECOS PAC ID: 7517979974 Enrollment ID: I20060629000196 |
| Provider Name | Thomas Basil Henry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578503025 PECOS PAC ID: 9335146158 Enrollment ID: I20061108000398 |
| Provider Name | Lori R Bjornson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992874077 PECOS PAC ID: 3173525409 Enrollment ID: I20070215000215 |
| Provider Name | Alice D Webber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710124615 PECOS PAC ID: 8820152184 Enrollment ID: I20090130000523 |
| Provider Name | Anne M Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245569185 PECOS PAC ID: 2062609647 Enrollment ID: I20101208000718 |
| Provider Name | Toni Sue Start |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356542716 PECOS PAC ID: 3274714332 Enrollment ID: I20110222000978 |
| Provider Name | Hildy N Scholar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659515021 PECOS PAC ID: 5496932832 Enrollment ID: I20110610000622 |
| Provider Name | Robert A Carlson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144461468 PECOS PAC ID: 6305024514 Enrollment ID: I20110616000692 |
| Provider Name | Kerri A Gonda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730497793 PECOS PAC ID: 7719154145 Enrollment ID: I20120125000428 |
| Provider Name | Michelle M Michael |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851524185 PECOS PAC ID: 9931365962 Enrollment ID: I20120719000307 |
| Provider Name | Liliana Funk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720299910 PECOS PAC ID: 6507022910 Enrollment ID: I20120730000039 |
| Provider Name | Sally J Reuter-hurley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245414945 PECOS PAC ID: 1052568789 Enrollment ID: I20120830000609 |
| Provider Name | Susan M Stine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881631372 PECOS PAC ID: 9830347111 Enrollment ID: I20120911000431 |
| Provider Name | Monica Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346258795 PECOS PAC ID: 3678670866 Enrollment ID: I20130911000832 |
| Provider Name | Iyantta S Howell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750545075 PECOS PAC ID: 1759608904 Enrollment ID: I20150812006379 |
| Provider Name | John C Dubois |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922413194 PECOS PAC ID: 0547576720 Enrollment ID: I20150902002207 |
| Provider Name | Nikki Marie Schluentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346481512 PECOS PAC ID: 7719264654 Enrollment ID: I20170503000558 |
| Provider Name | Julie Jane Frei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699919811 PECOS PAC ID: 2567749344 Enrollment ID: I20170503002377 |
| Provider Name | Julia Whitcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922240878 PECOS PAC ID: 5890035687 Enrollment ID: I20190313002340 |
| Provider Name | Michael M Case |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083175863 PECOS PAC ID: 4082940895 Enrollment ID: I20190731000901 |
| Provider Name | Peguy Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619400371 PECOS PAC ID: 2567890759 Enrollment ID: I20200323001134 |
| Provider Name | Kyle A Bastion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609009968 PECOS PAC ID: 3577994730 Enrollment ID: I20200504001832 |
| Provider Name | Carolynne S Vanderveen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023551645 PECOS PAC ID: 4587071196 Enrollment ID: I20210326001938 |
| Provider Name | Kayla Kambeitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891125209 PECOS PAC ID: 2860883485 Enrollment ID: I20211215001479 |
| Provider Name | Jennifer L Neumann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134438005 PECOS PAC ID: 1850782319 Enrollment ID: I20211217000929 |
| Provider Name | Kelley Kidwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609006840 PECOS PAC ID: 8224429923 Enrollment ID: I20220106000256 |
| Provider Name | Lori Van Slembrouck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982368692 PECOS PAC ID: 0749671030 Enrollment ID: I20220121000508 |
| Provider Name | Danica Grceski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881998623 PECOS PAC ID: 1052706785 Enrollment ID: I20220316001720 |
| Provider Name | Jeffrey Bellairs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679039259 PECOS PAC ID: 1658768783 Enrollment ID: I20220420000875 |
| Provider Name | Andrea Neagu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851921506 PECOS PAC ID: 1355738386 Enrollment ID: I20220421002167 |
| Provider Name | Sadie Erin Riedel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952940009 PECOS PAC ID: 7315324308 Enrollment ID: I20220512001603 |
| Provider Name | Katana Roesch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255885521 PECOS PAC ID: 9335526706 Enrollment ID: I20220525000181 |
| Provider Name | Kimberly Ann Jeroue |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114488301 PECOS PAC ID: 6406236033 Enrollment ID: I20220629001399 |
| Provider Name | Sumi Treesa Cyriac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043586449 PECOS PAC ID: 2860796166 Enrollment ID: I20230516000891 |
| Provider Name | Cynthia Williams-hurt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356879472 PECOS PAC ID: 8426493461 Enrollment ID: I20240229000251 |
| Provider Name | Katie Lord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477947901 PECOS PAC ID: 0345685327 Enrollment ID: I20240229001622 |
| Provider Name | Teonna Gary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508391335 PECOS PAC ID: 3870932825 Enrollment ID: I20240423004052 |
| Provider Name | Victoria Elaine Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023891991 PECOS PAC ID: 2567802507 Enrollment ID: I20240424003079 |
| Provider Name | Tracy Ann Olszewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508436171 PECOS PAC ID: 0749620797 Enrollment ID: I20240424003569 |
| Provider Name | Mary Beth Rost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528691169 PECOS PAC ID: 2365984622 Enrollment ID: I20240603001793 |
| Provider Name | Kellie Kroeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013338821 PECOS PAC ID: 3072056662 Enrollment ID: I20240624004663 |
| Provider Name | Kristen Hjelmstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538412689 PECOS PAC ID: 2769927722 Enrollment ID: I20240715000820 |
| Provider Name | Adam Fuhrman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053703512 PECOS PAC ID: 9032655303 Enrollment ID: I20240723001484 |
| Provider Name | Heather Tawfik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164955860 PECOS PAC ID: 1153853221 Enrollment ID: I20241014003328 |
| Provider Name | Ann Marie Liesen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790926657 PECOS PAC ID: 8426580259 Enrollment ID: I20241017000758 |
Catholic Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 S Adams Rd, Auburn Hills, MI 48326 Phone: 248-537-3300 Fax: 248-537-3306 | |
Hani Mekhael Md Ii Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3265 Five Points Dr Ste A, Auburn Hills, MI 48326 Phone: 248-609-1234 | |
Insight Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3121 University Dr Ste 140, Auburn Hills, MI 48326 Phone: 248-923-2099 Fax: 248-923-2096 | |
Kim Dembrosky Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Doris Rd, Auburn Hills, MI 48326 Phone: 248-276-8000 Fax: 248-276-9280 |