| Psychiatric Services Of Grosse Pointe | |
|
25509 Kelly Rd Ste A Roseville MI 48066-5823 | |
| (586) 252-2616 | |
| (313) 563-8443 |
| Full Name | Psychiatric Services Of Grosse Pointe |
|---|---|
| Speciality | Psychologist |
| Location | 25509 Kelly Rd Ste A, Roseville, Michigan |
| Authorized Official Name and Position | James Darryl Adamo (OWNER) |
| Authorized Official Contact | 5862522616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services Of Grosse Pointe 25509 Kelly Rd Ste A Roseville MI 48066-5823 Ph: (586) 252-2616 | Psychiatric Services Of Grosse Pointe 25509 Kelly Rd Ste A Roseville MI 48066-5823 Ph: (586) 252-2616 |
| NPI Number | 1639228000 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Medicare PECOS PAC ID | 8224087945 |
|---|---|
| Medicare Enrollment ID | O20050119000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639228000 | NPI | - | NPPES |
| Provider Name | Melissa V Altomare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710191846 PECOS PAC ID: 5294745287 Enrollment ID: I20060504000911 |
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