| Partners In Change: Psychological & Community Services, Plc | |
|
720 W Wackerly St Midland MI 48640-2769 | |
| (989) 832-2165 | |
| (989) 839-4376 |
| Full Name | Partners In Change: Psychological & Community Services, Plc |
|---|---|
| Speciality | Psychologist |
| Location | 720 W Wackerly St, Midland, Michigan |
| Authorized Official Name and Position | Joseph Date (BUSINESS DIRECTOR) |
| Authorized Official Contact | 9898322165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Change: Psychological & Community Services, Plc Po Box 2875 Midland MI 48641-2875 Ph: (989) 832-2165 | Partners In Change: Psychological & Community Services, Plc 720 W Wackerly St Midland MI 48640-2769 Ph: (989) 832-2165 |
| NPI Number | 1093984817 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 7719050814 |
|---|---|
| Medicare Enrollment ID | O20080723000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093984817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301009535 (Michigan) | Primary |
| Provider Name | Ali E Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710089388 PECOS PAC ID: 1658349212 Enrollment ID: I20040921001007 |
| Provider Name | Anita P Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942224571 PECOS PAC ID: 2062418759 Enrollment ID: I20061020000351 |
| Provider Name | Ann L Date |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174746820 PECOS PAC ID: 5597838607 Enrollment ID: I20080723000398 |
| Provider Name | Thomas J Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467675116 PECOS PAC ID: 7315010428 Enrollment ID: I20080723000413 |
| Provider Name | Zachary Y Jaime |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013312479 PECOS PAC ID: 0840504577 Enrollment ID: I20150807015240 |
| Provider Name | Katey L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306023007 PECOS PAC ID: 4486954187 Enrollment ID: I20151202001883 |
| Provider Name | Ann Nagley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891107215 PECOS PAC ID: 9234405614 Enrollment ID: I20171031000259 |
| Provider Name | Angel J Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831575422 PECOS PAC ID: 1850659830 Enrollment ID: I20171220003017 |
| Provider Name | Kimberly Ann Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851899223 PECOS PAC ID: 6507126786 Enrollment ID: I20180208000420 |
| Provider Name | Erin Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831489541 PECOS PAC ID: 7416206768 Enrollment ID: I20180820001116 |
| Provider Name | Felix Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568712610 PECOS PAC ID: 5991054256 Enrollment ID: I20180820001468 |
| Provider Name | Martina Rose-pontious Ricards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073978797 PECOS PAC ID: 4183973373 Enrollment ID: I20180821003484 |
| Provider Name | Nicholas Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952751067 PECOS PAC ID: 2567706518 Enrollment ID: I20181203002716 |
| Provider Name | Ann Marie Shibley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568835197 PECOS PAC ID: 1052657103 Enrollment ID: I20190109003158 |
| Provider Name | Renee Lynne Peterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558840686 PECOS PAC ID: 3173944030 Enrollment ID: I20200601001243 |
| Provider Name | Cynthia Lynn Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606098 PECOS PAC ID: 7416371349 Enrollment ID: I20200723003042 |
| Provider Name | Jacob A Brushaber-drockton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235785452 PECOS PAC ID: 9335568252 Enrollment ID: I20200926000131 |
| Provider Name | Tyler S Felty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568944635 PECOS PAC ID: 6002224185 Enrollment ID: I20210412000471 |
| Provider Name | Renee Carol Busby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558848770 PECOS PAC ID: 9032519608 Enrollment ID: I20210618000769 |
| Provider Name | Kelly Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417517087 PECOS PAC ID: 6002219250 Enrollment ID: I20210726001424 |
| Provider Name | Brooke Maylee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275928210 PECOS PAC ID: 8224434733 Enrollment ID: I20210909000258 |
| Provider Name | Christine Cromwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356829501 PECOS PAC ID: 0143618538 Enrollment ID: I20211104001727 |
| Provider Name | Susan Prill-wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578193363 PECOS PAC ID: 1759771686 Enrollment ID: I20211207002060 |
| Provider Name | Carrie Suzanne Maddox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801374061 PECOS PAC ID: 4183001969 Enrollment ID: I20220517001005 |
| Provider Name | Amanda Claire Eberbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346755642 PECOS PAC ID: 6406235191 Enrollment ID: I20220627002849 |
| Provider Name | Sarah Rudel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073121133 PECOS PAC ID: 7012385321 Enrollment ID: I20221117001191 |
| Provider Name | Tiffany Schall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255876850 PECOS PAC ID: 3375992936 Enrollment ID: I20231208001011 |
| Provider Name | Nicole Ryan Schram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215483805 PECOS PAC ID: 2163873951 Enrollment ID: I20240105001320 |
| Provider Name | Jason Thomas Melvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790129369 PECOS PAC ID: 5496106288 Enrollment ID: I20240105001468 |
| Provider Name | Diane L. Bedford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447381850 PECOS PAC ID: 3870944606 Enrollment ID: I20240105002900 |
| Provider Name | Deanna Scott-hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275998296 PECOS PAC ID: 1355785643 Enrollment ID: I20240214002421 |
| Provider Name | Katherine Anne Frank |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023407764 PECOS PAC ID: 1850735333 Enrollment ID: I20240223001162 |
| Provider Name | Blake Krzyminski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871075804 PECOS PAC ID: 2365886843 Enrollment ID: I20240223001305 |
Surendra Kaul, M.d.-p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Wackerly St, Suite 3625, Midland, MI 48640 Phone: 989-835-8625 Fax: 989-839-8864 | |
Spirit Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5103 Eastman Ave Ste 237, Midland, MI 48640 Phone: 989-289-1497 | |
Carol Robinson Ma Lpc Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4604 N Saginaw Rd Ste N, Midland, MI 48640 Phone: 989-488-7808 | |
Healthy Minds Of Michigan Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5103 Eastman Ave Ste 117, Midland, MI 48640 Phone: 989-455-8214 | |
Jennifer Small Counseling Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3316 Kentwood Dr, Midland, MI 48642 Phone: 989-750-3646 | |
Mid-mitten Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 S Saginaw Rd, Midland, MI 48640 Phone: 989-573-0820 |