Ms Rachel A Tannenbaum, LMHC | |
5401 Mcauley Drive, Ypsilanti, MI 48197 | |
(734) 786-2300 | |
(734) 786-4915 |
Full Name | Ms Rachel A Tannenbaum |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 5401 Mcauley Drive, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235245846 | NPI | - | NPPES |
2220002001 | Other | MA | BCBS SA |
1306421 | Medicaid | MA | |
1308785 | Other | MA | MCD MH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6361004572 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | St Joseph Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659499705 PECOS PAC ID: 3779489281 Enrollment ID: O20040226001002 |
Entity Name | Saint Joseph Mercy Livingston Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285753236 PECOS PAC ID: 8628964525 Enrollment ID: O20040301000934 |
Mailing Address | Practice Location Address |
---|---|
Ms Rachel A Tannenbaum, LMHC 24 Frank Lloyd Wright Drive, Ste J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766 | Ms Rachel A Tannenbaum, LMHC 5401 Mcauley Drive, Ypsilanti, MI 48197 Ph: (734) 786-2300 |
Emerson Lane Delacroix, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 704 N Congress St, Suite 3, Ypsilanti, MI 48197 Phone: 765-426-1313 | |
Lynn Ann Radabaugh, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-891-3401 | |
Ms. Sierra Johnson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 N Washington St, Ypsilanti, MI 48197 Phone: 734-682-5544 | |
Robin T. Songer-cook, L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3050 Fax: 734-544-6726 | |
Ms. Wendy Thompson, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1207 Pearl, Ypsilanti, MI 48197 Phone: 734-358-0477 Fax: 734-436-0253 | |
Catherine Kwantes, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 124 Pearl St Ste 207, Ypsilanti, MI 48197 Phone: 734-945-6210 | |
Suzzanne Suleiman, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 5401 Mcauley Drive, Ypsilanti, MI 48197 Phone: 734-786-2300 Fax: 734-786-4915 |