| Serenity Bay Health Pllc | |
|
946 W Midland Rd Auburn MI 48611-9400 | |
| (989) 266-3188 | |
| (949) 561-5532 |
| Full Name | Serenity Bay Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 946 W Midland Rd, Auburn, Michigan |
| Authorized Official Name and Position | Adam David Nicholas (PSYCHIATRIST) |
| Authorized Official Contact | 9892663188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Bay Health Pllc 946 W Midland Rd Auburn MI 48611-9400 Ph: (989) 266-3188 | Serenity Bay Health Pllc 946 W Midland Rd Auburn MI 48611-9400 Ph: (989) 266-3188 |
| NPI Number | 1497320451 |
|---|---|
| Provider Enumeration Date | 05/23/2021 |
| Last Update Date | 09/11/2021 |
| Certification Date | 09/11/2021 |
| Medicare PECOS PAC ID | 3577963404 |
|---|---|
| Medicare Enrollment ID | O20210615002306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497320451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Janice I Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710004478 PECOS PAC ID: 9931207362 Enrollment ID: I20070608000475 |
| Provider Name | Adam D Nicholas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033309950 PECOS PAC ID: 4688852213 Enrollment ID: I20110629000390 |
| Provider Name | Jan J Gaertner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750669933 PECOS PAC ID: 2062685373 Enrollment ID: I20111102000461 |
| Provider Name | Kristen Kolberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730359373 PECOS PAC ID: 1456526557 Enrollment ID: I20111219000129 |
| Provider Name | Ashley R Luplow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942526744 PECOS PAC ID: 4183853203 Enrollment ID: I20140212000389 |
| Provider Name | Lindsay Robb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801226352 PECOS PAC ID: 6406197029 Enrollment ID: I20190409001695 |
| Provider Name | Deanna Dubay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346898228 PECOS PAC ID: 6507196771 Enrollment ID: I20191001003334 |
| Provider Name | Ryan L Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275983298 PECOS PAC ID: 6507150075 Enrollment ID: I20200702002176 |
| Provider Name | Kelli Kay Leask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235776576 PECOS PAC ID: 6406262443 Enrollment ID: I20210317000647 |
| Provider Name | Taylor Thelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497314595 PECOS PAC ID: 0749697431 Enrollment ID: I20210324002602 |
| Provider Name | Hannah L Kloha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861085110 PECOS PAC ID: 1052710423 Enrollment ID: I20210604001950 |
| Provider Name | Karen J Pabalis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245904093 PECOS PAC ID: 3375947518 Enrollment ID: I20210810001518 |
| Provider Name | Shawn Marie Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962198267 PECOS PAC ID: 7315312634 Enrollment ID: I20230418002198 |
| Provider Name | Joseph Horetski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306530548 PECOS PAC ID: 9931566510 Enrollment ID: I20230613002793 |
| Provider Name | Megan Crippin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699249334 PECOS PAC ID: 8224487574 Enrollment ID: I20231212001049 |
| Provider Name | Teresa A Switala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336759851 PECOS PAC ID: 6103278833 Enrollment ID: I20240118002494 |
| Provider Name | Amy Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164500468 PECOS PAC ID: 6204288673 Enrollment ID: I20240122002083 |
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