| Triad Associates | |
|
5980 S Main St Ste 101 Clarkston MI 48346-2377 | |
| (248) 625-2970 | |
| Not Available |
| Full Name | Triad Associates |
|---|---|
| Speciality | Counselor |
| Location | 5980 S Main St Ste 101, Clarkston, Michigan |
| Authorized Official Name and Position | Michael Nadhir (OWNER) |
| Authorized Official Contact | 2486252970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Associates 3000 Interlaken St West Bloomfield MI 48323-1820 Ph: () - | Triad Associates 5980 S Main St Ste 101 Clarkston MI 48346-2377 Ph: (248) 625-2970 |
| NPI Number | 1730897711 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Medicare PECOS PAC ID | 3476922006 |
|---|---|
| Medicare Enrollment ID | O20221202002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730897711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Robert J Lagrou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629279351 PECOS PAC ID: 3779645270 Enrollment ID: I20081217000396 |
| Provider Name | Rachel L Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912206798 PECOS PAC ID: 7214166388 Enrollment ID: I20140212001676 |
| Provider Name | Dana Jeffery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669846614 PECOS PAC ID: 1254748924 Enrollment ID: I20210324001806 |
| Provider Name | Dena Marie Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164925483 PECOS PAC ID: 3173990843 Enrollment ID: I20221109001922 |
| Provider Name | Samantha Pedri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578926085 PECOS PAC ID: 0345609954 Enrollment ID: I20230629002420 |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20230630002188 |
| Provider Name | Stephen Nachtegall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568867133 PECOS PAC ID: 7911342746 Enrollment ID: I20240301003237 |
| Provider Name | Jaime Sue Podina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619288891 PECOS PAC ID: 8527403203 Enrollment ID: I20240304003839 |
| Provider Name | Dawn Renee Terez Hillstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407456262 PECOS PAC ID: 9335585793 Enrollment ID: I20240308000319 |
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