| Southwest Michigan Neuropsychology Pc | |
|
238 Hoover Blvd Ste 20 Holland MI 49423-3755 | |
| (517) 887-9801 | |
| Not Available |
| Full Name | Southwest Michigan Neuropsychology Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 238 Hoover Blvd Ste 20, Holland, Michigan |
| Authorized Official Name and Position | Robert Fabiano (PRESIDENT) |
| Authorized Official Contact | 5172437027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Michigan Neuropsychology Pc 238 Hoover Blvd Ste 20 Holland MI 49423-3755 Ph: () - | Southwest Michigan Neuropsychology Pc 238 Hoover Blvd Ste 20 Holland MI 49423-3755 Ph: (517) 887-9801 |
| NPI Number | 1700454642 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Certification Date | 06/16/2021 |
| Medicare PECOS PAC ID | 0648673020 |
|---|---|
| Medicare Enrollment ID | O20210722001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700454642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Brooke E Vanburen-hay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043277239 PECOS PAC ID: 9234106329 Enrollment ID: I20040916001122 |
| Provider Name | Robert J Fabiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629157185 PECOS PAC ID: 1759277569 Enrollment ID: I20041013000443 |
| Provider Name | Jasmine Starr Emerick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255744413 PECOS PAC ID: 8123323607 Enrollment ID: I20160222000530 |
| Provider Name | Alfred Mansour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275876963 PECOS PAC ID: 1254636616 Enrollment ID: I20160223000373 |
| Provider Name | Julie Simensky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538172283 PECOS PAC ID: 8527028752 Enrollment ID: I20210226001671 |
Comprehensive Psyiatric Services Of Western Mi Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12978 James Street, Ste 10, Holland, MI 49424 Phone: 616-399-7005 Fax: 616-399-7150 | |
Center For Family Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Hoover Blvd, Suite A, Holland, MI 49423 Phone: 616-392-7695 Fax: 616-392-6955 | |
Holland Community Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3235 Wellness Dr, Holland, MI 49424 Phone: 616-392-5141 | |
Daniel G. Rooks, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3124 N Wellness Dr, Suite 30, Holland, MI 49424 Phone: 616-786-3350 Fax: 616-786-3375 | |
Ck Psychological Associates, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 246 S River Ave, Suite 105, Holland, MI 49423 Phone: 616-494-0808 Fax: 616-494-0011 |