| Triton Behavorial Health Llc | |
|
24430 Ford Rd Ste B Dearborn Heights MI 48127-3280 | |
| (248) 981-5465 | |
| Not Available |
| Full Name | Triton Behavorial Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24430 Ford Rd Ste B, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Christopher Ygay (PRINCIPAL) |
| Authorized Official Contact | 2489815465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triton Behavorial Health Llc 822 Keaton Dr Troy MI 48098-1807 Ph: (248) 981-5465 | Triton Behavorial Health Llc 24430 Ford Rd Ste B Dearborn Heights MI 48127-3280 Ph: (248) 981-5465 |
| NPI Number | 1205337722 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Medicare PECOS PAC ID | 8123436557 |
|---|---|
| Medicare Enrollment ID | O20210422002793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205337722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Richard E James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750325262 PECOS PAC ID: 7517979974 Enrollment ID: I20060629000196 |
| Provider Name | Demetrius E Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376699801 PECOS PAC ID: 7618047465 Enrollment ID: I20080605000071 |
| Provider Name | Michele Leno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770818577 PECOS PAC ID: 9032234703 Enrollment ID: I20100917000797 |
| Provider Name | Stephanie Caskey |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1366602377 PECOS PAC ID: 5092104083 Enrollment ID: I20211112001128 |
| Provider Name | Christopher Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598317505 PECOS PAC ID: 7113322918 Enrollment ID: I20240312002019 |
Community Medical Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25639 Ford Rd, Dearborn Heights, MI 48127 Phone: 313-277-3293 | |
Diverse Resolutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24500 Ford Rd Ste 3, Dearborn Heights, MI 48127 Phone: 248-629-9169 Fax: 248-250-5392 | |
S.a.f.e. Substance Abuse Coalition Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23302 W Warren St, Dearborn Heights, MI 48127 Phone: 313-436-0043 Fax: 313-436-0044 | |
Community Medical Services Dearborn Heights Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25639 Ford Rd, Dearborn Heights, MI 48127 Phone: 313-277-3293 Fax: 313-277-0917 | |
Kdcare Community Aba Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20225 Ann Arbor Trl, Dearborn Heights, MI 48127 Phone: 248-982-6722 | |
Premier Care Dearborn Heights Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25639 Ford Rd, Dearborn Heights, MI 48127 Phone: 313-277-3293 Fax: 313-532-2773 |