Oakland Psychological Clinic, P.c. | |
2222 S Linden Rd Suite J Flint MI 48532 | |
(810) 732-0560 | |
(810) 732-6351 |
Full Name | Oakland Psychological Clinic, P.c. |
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Speciality | Counselor |
Location | 2222 S Linden Rd, Flint, Michigan |
Authorized Official Name and Position | Elliott Richelson (PRESIDENT, TREASURER, SECRETARY) |
Authorized Official Contact | 9046054986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakland Psychological Clinic, P.c. Po Box 7008 Bloomfield Hills MI 48302-7008 Ph: (248) 322-0003 | Oakland Psychological Clinic, P.c. 2222 S Linden Rd Suite J Flint MI 48532 Ph: (810) 732-0560 |
NPI Number | 1538356282 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 12/30/2022 |
Certification Date | 12/30/2022 |
Medicare PECOS PAC ID | 2163315086 |
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Medicare Enrollment ID | O20040507000830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538356282 | NPI | - | NPPES |
Provider Name | Nikhil K Vora |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043244411 PECOS PAC ID: 1052209079 Enrollment ID: I20040310000177 |
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 | William L Guy |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295748101 PECOS PAC ID: 3870581861 Enrollment ID: I20040506000688 |
Provider Name | Peter N Mason |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245322924 PECOS PAC ID: 0345290391 Enrollment ID: I20050127000086 |
Provider Name | Debra K Gorney-jankowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932117009 PECOS PAC ID: 8527068477 Enrollment ID: I20061228000185 |
Provider Name | Jimmica D Donald |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124252713 PECOS PAC ID: 0840461133 Enrollment ID: I20110916000397 |
Provider Name | Eileen A Gallagher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699175679 PECOS PAC ID: 1254552987 Enrollment ID: I20141022002236 |
Provider Name | Michael Kubiak |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720257074 PECOS PAC ID: 8123341468 Enrollment ID: I20141217002824 |
Provider Name | Theresa W Kelly |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720527146 PECOS PAC ID: 1052695152 Enrollment ID: I20170309002424 |
Provider Name | Kenyatta Bates |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205108404 PECOS PAC ID: 0547537904 Enrollment ID: I20170606002750 |
Provider Name | Nicolette Cheff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740772193 PECOS PAC ID: 3971850827 Enrollment ID: I20180724000222 |
Provider Name | Gina Nicole Shuster |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497093348 PECOS PAC ID: 0446583710 Enrollment ID: I20190603000034 |
Provider Name | Spencer M Mister |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235618166 PECOS PAC ID: 9032453790 Enrollment ID: I20191009002357 |
Provider Name | Thomas A Sammon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033860614 PECOS PAC ID: 0143612408 Enrollment ID: I20220118001211 |
Provider Name | Ashley Dione Milton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144687401 PECOS PAC ID: 5890177141 Enrollment ID: I20220802003766 |
Provider Name | Kimberly Keisel |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285784736 PECOS PAC ID: 7911355375 Enrollment ID: I20231122002564 |
Provider Name | Kyle Powell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376639500 PECOS PAC ID: 4789032004 Enrollment ID: I20231128000882 |
Provider Name | Vanita Wilson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740756949 PECOS PAC ID: 2466801550 Enrollment ID: I20231214002579 |
Provider Name | Mahla Wood |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720033566 PECOS PAC ID: 5193168276 Enrollment ID: I20240206000848 |
Provider Name | Patrick Cavell |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225176712 PECOS PAC ID: 4981047461 Enrollment ID: I20240212003753 |
Provider Name | Rachel Valentine |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1538253836 PECOS PAC ID: 5496199721 Enrollment ID: I20240214003791 |
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