| Tcsi Of Michigan | |
|
20270 Middlebelt Road Suite 11 Livonia MI 48152 | |
| (248) 919-6990 | |
| (248) 957-9630 |
| Full Name | Tcsi Of Michigan |
|---|---|
| Speciality | Psychologist |
| Location | 20270 Middlebelt Road, Livonia, Michigan |
| Authorized Official Name and Position | Theresa Ann Habib (PRESIDENT/CHIEF OPERATING OFFICER.) |
| Authorized Official Contact | 2489196990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcsi Of Michigan 20270 Middlebelt Road Suite 11 Livonia MI 48152 Ph: (248) 919-6990 | Tcsi Of Michigan 20270 Middlebelt Road Suite 11 Livonia MI 48152 Ph: (248) 919-6990 |
| NPI Number | 1457511578 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Medicare PECOS PAC ID | 7618363060 |
|---|---|
| Medicare Enrollment ID | O20220412000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457511578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301008272 (Michigan) | Primary |
| Provider Name | Peter Ianni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144207424 PECOS PAC ID: 5597923284 Enrollment ID: I20120227000678 |
| Provider Name | Theresa A Habib |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1275793697 PECOS PAC ID: 4486041464 Enrollment ID: I20220412000200 |
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