Pocs Mental Health Pc | |
34841 Veterans Plz Wayne MI 48184-1733 | |
(734) 728-3446 | |
(734) 728-4893 |
Full Name | Pocs Mental Health Pc |
---|---|
Speciality | Social Worker |
Location | 34841 Veterans Plz, Wayne, Michigan |
Authorized Official Name and Position | Colin King (OWNER) |
Authorized Official Contact | 3132927640 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pocs Mental Health Pc 34841 Veterans Plz Wayne MI 48184-1733 Ph: (313) 292-7640 | Pocs Mental Health Pc 34841 Veterans Plz Wayne MI 48184-1733 Ph: (734) 728-3446 |
NPI Number | 1689901993 |
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Provider Enumeration Date | 11/06/2009 |
Last Update Date | 07/15/2014 |
Medicare PECOS PAC ID | 8729115779 |
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Medicare Enrollment ID | O20100422000461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689901993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Katrina Denise Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053399337 PECOS PAC ID: 2961423173 Enrollment ID: I20051215000641 |
Provider Name | Patricia Francis Yourchock Orr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124054408 PECOS PAC ID: 3779507348 Enrollment ID: I20060123000249 |
Provider Name | Natraj Sitaram |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518904176 PECOS PAC ID: 9739191065 Enrollment ID: I20060630000317 |
Provider Name | Colin F King |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144344417 PECOS PAC ID: 1052417599 Enrollment ID: I20070509000130 |
Provider Name | Lorna King |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295923464 PECOS PAC ID: 4183711393 Enrollment ID: I20071106000125 |
Provider Name | Calmeze Henike Dudley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639205651 PECOS PAC ID: 3971661950 Enrollment ID: I20081020000431 |
Provider Name | Karen T Gagnon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417223520 PECOS PAC ID: 4880859628 Enrollment ID: I20120629000270 |
Provider Name | Anhkiet Le Tran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639425879 PECOS PAC ID: 7618128315 Enrollment ID: I20121106000091 |
Provider Name | Doresea Lewis-bogan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124218466 PECOS PAC ID: 7315182979 Enrollment ID: I20130402000289 |
Provider Name | Marie D Libbey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104255058 PECOS PAC ID: 7214150358 Enrollment ID: I20140519001299 |
Provider Name | Deniene D King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093107948 PECOS PAC ID: 1153631692 Enrollment ID: I20151112001155 |
Provider Name | Brian Bigelow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538532379 PECOS PAC ID: 3072814169 Enrollment ID: I20151215000276 |
Provider Name | Nicole Lea Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184095101 PECOS PAC ID: 5799080644 Enrollment ID: I20160301002512 |
Provider Name | Emily Rachal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306089735 PECOS PAC ID: 5294015202 Enrollment ID: I20161209000231 |
Provider Name | Deangella R Simpson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700328135 PECOS PAC ID: 2365724838 Enrollment ID: I20170117002271 |
Provider Name | Meriam Sam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992087605 PECOS PAC ID: 0547543712 Enrollment ID: I20170214000297 |
Provider Name | Eric Sifuna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881068930 PECOS PAC ID: 5496039315 Enrollment ID: I20170221001445 |
Provider Name | Nancy Kimmel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174050884 PECOS PAC ID: 6103194907 Enrollment ID: I20170628001411 |
Provider Name | Julie Cain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649771668 PECOS PAC ID: 2961764238 Enrollment ID: I20180326002434 |
Provider Name | Anthonia Umelogu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518485911 PECOS PAC ID: 1759644933 Enrollment ID: I20180423000990 |
Provider Name | Caitlin Bernstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548799596 PECOS PAC ID: 9133475312 Enrollment ID: I20180629002008 |
Provider Name | Adriene Avripas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20181015003508 |
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