| Psychplus Associates Of Michigan, Pllc | |
|
5901 Chase Rd Ste 210 Dearborn MI 48126-0900 | |
| (832) 869-4818 | |
| Not Available |
| Full Name | Psychplus Associates Of Michigan, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5901 Chase Rd Ste 210, Dearborn, Michigan |
| Authorized Official Name and Position | Faisal Tai (CEO) |
| Authorized Official Contact | 8325067061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychplus Associates Of Michigan, Pllc 7877 Willow Chase Blvd Houston TX 77070-5934 Ph: () - | Psychplus Associates Of Michigan, Pllc 5901 Chase Rd Ste 210 Dearborn MI 48126-0900 Ph: (832) 869-4818 |
| NPI Number | 1053172866 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Medicare PECOS PAC ID | 7911345764 |
|---|---|
| Medicare Enrollment ID | O20240329001645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053172866 | NPI | - | NPPES |
| Provider Name | Erlinda P Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790898278 PECOS PAC ID: 0446216782 Enrollment ID: I20041208000251 |
| Provider Name | Geneva Chastanet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841476363 PECOS PAC ID: 1456615749 Enrollment ID: I20211223000734 |
| Provider Name | Faisal Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619381316 PECOS PAC ID: 7911125265 Enrollment ID: I20240329001713 |
| Provider Name | Daniela L Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336859198 PECOS PAC ID: 3779921069 Enrollment ID: I20240405000790 |
| Provider Name | Jenna Sobczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184236556 PECOS PAC ID: 0749639045 Enrollment ID: I20240520003111 |
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