| Sagacity Global Psych And Associates | |
|
2563 Woodlake Rd Sw Apt 6 Wyoming MI 49519-4718 | |
| (443) 527-7678 | |
| Not Available |
| Full Name | Sagacity Global Psych And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 2563 Woodlake Rd Sw Apt 6, Wyoming, Michigan |
| Authorized Official Name and Position | Casilda Maxwell (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 4435277678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagacity Global Psych And Associates 2563 Woodlake Rd Sw Apt 6 Wyoming MI 49519-4718 Ph: (443) 527-7678 | Sagacity Global Psych And Associates 2563 Woodlake Rd Sw Apt 6 Wyoming MI 49519-4718 Ph: (443) 527-7678 |
| NPI Number | 1528664646 |
|---|---|
| Provider Enumeration Date | 12/05/2020 |
| Last Update Date | 12/05/2020 |
| Certification Date | 12/05/2020 |
| Medicare PECOS PAC ID | 8426451436 |
|---|---|
| Medicare Enrollment ID | O20210728003697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528664646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Provider Name | Casilda Renee Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700268182 PECOS PAC ID: 8628317096 Enrollment ID: I20190228002954 |
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