| Psychological And Consultation Services Pc | |
|
4123 Okemos Rd Ste 15 Okemos MI 48864-2818 | |
| (517) 336-7366 | |
| (517) 336-0808 |
| Full Name | Psychological And Consultation Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4123 Okemos Rd Ste 15, Okemos, Michigan |
| Authorized Official Name and Position | Priscilla Wade (LICENSED PSYCHOLOGIST, PRESIDENT) |
| Authorized Official Contact | 5173367366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological And Consultation Services Pc Po Box 4455 East Lansing MI 48826-4455 Ph: (517) 336-7366 | Psychological And Consultation Services Pc 4123 Okemos Rd Ste 15 Okemos MI 48864-2818 Ph: (517) 336-7366 |
| NPI Number | 1407910854 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Medicare PECOS PAC ID | 5496879546 |
|---|---|
| Medicare Enrollment ID | O20100826000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407910854 | NPI | - | NPPES |
| 1871650291 | Other | MI | BANKER'S FIDELITY LIFE INSURANCE |
| 1871650291 | Other | MI | TRICARE |
| 1871650291 | Other | MI | UNITED HEALTHCARE |
| 1871650291 | Other | MI | COFINITY |
| 900080140 | Other | MI | PRIORITY HEALTH |
| 11291411 | Other | MI | B;UE CROSS TRUST |
| 68OC346780 | Other | MI | BCBSM |
| A185414 | Other | MI | BEACON HEALTH OPTIONS INC |
| 200000006054 | Other | MI | PHYSICIAN HEALTH PLAN |
| R1016708 | Other | MI | MCLAREN |
| 1871650291 | Other | MI | PARAIRIE STATES ENTERPRISES INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Priscilla Wade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871650291 PECOS PAC ID: 6103940259 Enrollment ID: I20100826000835 |
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