| Psygenics Inc | |
|
1 Parklane Blvd Ste 200e Dearborn MI 48126-2400 | |
| (313) 846-2606 | |
| Not Available |
| Full Name | Psygenics Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Parklane Blvd Ste 200e, Dearborn, Michigan |
| Authorized Official Name and Position | Judy Hinson (BUSINESS/HR DIRECTOR) |
| Authorized Official Contact | 5862045560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psygenics Inc 27085 Gratiot Ave Ste 101 Roseville MI 48066-2984 Ph: (586) 204-5560 | Psygenics Inc 1 Parklane Blvd Ste 200e Dearborn MI 48126-2400 Ph: (313) 846-2606 |
| NPI Number | 1669736104 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 9436465820 |
|---|---|
| Medicare Enrollment ID | O20150831002063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669736104 | NPI | - | NPPES |
| Provider Name | Michael H Watts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447260419 PECOS PAC ID: 3577476118 Enrollment ID: I20041104000621 |
| Provider Name | Kathleen Michelle Fouche Brazzle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629057906 PECOS PAC ID: 7810939113 Enrollment ID: I20050526000511 |
| Provider Name | Jaime Elise Dawdy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154878262 PECOS PAC ID: 6103109954 Enrollment ID: I20170202000160 |
| Provider Name | Abdelrahman Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871960930 PECOS PAC ID: 9931453032 Enrollment ID: I20191024002601 |
| Provider Name | Marykelly Wallace |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598372187 PECOS PAC ID: 6305253402 Enrollment ID: I20210407000545 |
| Provider Name | Rebecca L Caban |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073131199 PECOS PAC ID: 4981012416 Enrollment ID: I20210421000994 |
| Provider Name | Abby Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215603832 PECOS PAC ID: 5193192763 Enrollment ID: I20221110002644 |
| Provider Name | Jacqueline Renee Hernandez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891429205 PECOS PAC ID: 6901279330 Enrollment ID: I20230306000190 |
| Provider Name | Kira Whitney Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265055016 PECOS PAC ID: 2769855907 Enrollment ID: I20230308002799 |
| Provider Name | Kayla Lee Strong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639678626 PECOS PAC ID: 1759754831 Enrollment ID: I20230310002476 |
| Provider Name | Chitra Lakshumanan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215503172 PECOS PAC ID: 4688011307 Enrollment ID: I20240318001453 |
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