| Psychnorth | |
|
2202 Mitchell Park Dr Ste 5 Petoskey MI 49770-8897 | |
| (231) 348-5018 | |
| (844) 711-0200 |
| Full Name | Psychnorth |
|---|---|
| Speciality | Clinic/Center |
| Location | 2202 Mitchell Park Dr, Petoskey, Michigan |
| Authorized Official Name and Position | Jo Ann Haderer (OFFICE MANAGER) |
| Authorized Official Contact | 2313485018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychnorth 2202 Mitchell Park Dr 5 Petoskey MI 49770-8897 Ph: (231) 348-5018 | Psychnorth 2202 Mitchell Park Dr Ste 5 Petoskey MI 49770-8897 Ph: (231) 348-5018 |
| NPI Number | 1063887230 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Medicare PECOS PAC ID | 1153626981 |
|---|---|
| Medicare Enrollment ID | O20160216002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063887230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 4301089286 (Michigan) | Primary |
| Provider Name | Charles H Lapo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285674028 PECOS PAC ID: 8820001142 Enrollment ID: I20070406000148 |
| Provider Name | Shari D Froelich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477746196 PECOS PAC ID: 3971690298 Enrollment ID: I20071102000713 |
| Provider Name | Joann Haderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508295908 PECOS PAC ID: 1557593860 Enrollment ID: I20140418000363 |
| Provider Name | Robin Jo Schoenheit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609114768 PECOS PAC ID: 8628401148 Enrollment ID: I20191213000651 |
| Provider Name | Angela K Schutte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013447168 PECOS PAC ID: 3375979867 Enrollment ID: I20200131000363 |
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