Pamela D Kresta, PHD | |
43450 W 10 Mile Rd, Novi, MI 48375-3172 | |
(248) 344-7420 | |
(248) 344-7423 |
Full Name | Pamela D Kresta |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 28 Years |
Location | 43450 W 10 Mile Rd, Novi, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568519528 | NPI | - | NPPES |
416889 | Other | MI | VO |
300040030 | Other | MI | NPC TAX ID |
680F333010 | Other | MI | PERS BC PIN |
680F321030 | Other | MI | BC GROUP PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301009266 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northbrook Psychological Clinic Plc | 3577456243 | 3 |
Entity Name | Northbrook Psychological Clinic Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841279288 PECOS PAC ID: 3577456243 Enrollment ID: O20040514001041 |
Mailing Address | Practice Location Address |
---|---|
Pamela D Kresta, PHD 43450 W 10 Mile Rd, Novi, MI 48375-3172 Ph: (248) 344-7420 | Pamela D Kresta, PHD 43450 W 10 Mile Rd, Novi, MI 48375-3172 Ph: (248) 344-7420 |
Elizabeth Marie Jackson, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43155 Main St, Atrium 2300 Suite I, Novi, MI 48375 Phone: 734-656-8191 | |
David Peradotto, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43450 W 10 Mile Rd, Novi, MI 48375 Phone: 248-344-7420 Fax: 248-344-7423 | |
Kinneta Easter Mason, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41825 Borchart Dr, Novi, MI 48375 Phone: 313-919-1801 | |
Meredith Merlanti, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23985 Novi Rd, Suite B-104, Novi, MI 48375 Phone: 248-912-0080 | |
Lawrence Joseph Collins, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26850 Providence Pkwy, Suite 410, Novi, MI 48374 Phone: 248-465-4335 Fax: 248-465-4535 | |
Lauren Radtke- Rounds, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21149 Dundee Dr, Novi, MI 48375 Phone: 248-962-5064 | |
Dr. Howard E Moore, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 28175 Haggerty Rd, Novi, MI 48377 Phone: 248-994-1154 |