| United Psychological Services Inc | |
|
47818 Van Dyke Ave Shelby Twp MI 48317-3373 | |
| (586) 323-3620 | |
| (586) 323-3568 |
| Full Name | United Psychological Services Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 47818 Van Dyke Ave, Shelby Twp, Michigan |
| Authorized Official Name and Position | Barbara C Fisher (OWNER) |
| Authorized Official Contact | 5866771590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Psychological Services Inc 59100 Mound Rd Washington MI 48094-2039 Ph: (586) 677-1590 | United Psychological Services Inc 47818 Van Dyke Ave Shelby Twp MI 48317-3373 Ph: (586) 323-3620 |
| NPI Number | 1407947658 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 11/21/2007 |
| Medicare PECOS PAC ID | 8921197807 |
|---|---|
| Medicare Enrollment ID | O20071129000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407947658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6301002997 (Michigan) | Primary |
| Provider Name | Carl Eric Alsterberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639123706 PECOS PAC ID: 7214837111 Enrollment ID: I20040108001016 |
| Provider Name | Barbara C Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245458280 PECOS PAC ID: 2062519697 Enrollment ID: I20070516000380 |
| Provider Name | Danial J Zak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417164575 PECOS PAC ID: 8729161005 Enrollment ID: I20080208000504 |
| Provider Name | Bethann Kalt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649497330 PECOS PAC ID: 7416034608 Enrollment ID: I20080412000018 |
| Provider Name | Gordon Eric Mackinnon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811086697 PECOS PAC ID: 7214020650 Enrollment ID: I20080626000191 |
| Provider Name | Sandra G Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437183803 PECOS PAC ID: 1850537820 Enrollment ID: I20130417000376 |
| Provider Name | Gemma B Fioritto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902204126 PECOS PAC ID: 2466778832 Enrollment ID: I20150302000987 |
| Provider Name | Lindsay Kastelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336733351 PECOS PAC ID: 2163821273 Enrollment ID: I20210521001805 |
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