| Sierra Behavioral Services, P.l.c. | |
|
221 S Main St Suite 201 Royal Oak MI 48067-2611 | |
| (248) 398-6459 | |
| Not Available |
| Full Name | Sierra Behavioral Services, P.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 221 S Main St, Royal Oak, Michigan |
| Authorized Official Name and Position | Gregory Michael Kotlarz (ADMINISTRATOR) |
| Authorized Official Contact | 2483986459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Behavioral Services, P.l.c. 221 S Main St Suite 201 Royal Oak MI 48067-2611 Ph: (248) 398-6459 | Sierra Behavioral Services, P.l.c. 221 S Main St Suite 201 Royal Oak MI 48067-2611 Ph: (248) 398-6459 |
| NPI Number | 1194772723 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Medicare PECOS PAC ID | 4385687912 |
|---|---|
| Medicare Enrollment ID | O20050606000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194772723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jonathan P Beard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417998972 PECOS PAC ID: 6002859220 Enrollment ID: I20050608000265 |
| Provider Name | Mary N Monahan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699251538 PECOS PAC ID: 8325396922 Enrollment ID: I20180730001127 |
| Provider Name | Megan M Meade-higgins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578963336 PECOS PAC ID: 7618198342 Enrollment ID: I20190409001736 |
| Provider Name | Adam P Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619527140 PECOS PAC ID: 8426388588 Enrollment ID: I20191002003844 |
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