Dr Harriet J Mall, PHD is a medicare enrolled "Psychologist - Clinical" provider in Farmington Hills, Michigan. Her current practice location is
30445 Northwestern Hwy, Suite #240, Farmington Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 538-5045.
Dr Harriet J Mall is licensed to practice in Michigan (license number 6301008104) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558441840.
Healthcare Provider's Profile
| Full Name | Dr Harriet J Mall |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 30445 Northwestern Hwy, Farmington Hills, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Harriet J Mall attended and graduated from in
NPI Data:
- NPI Number: 1558441840
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Harriet J Mall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558441840 | NPI | - | NPPES |
| 11643507 | Other | MI | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 6401005154 (Michigan) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301008104 (Michigan) | Secondary |
| 103T00000X | Psychologist | 6301008104 (Michigan) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 6301008104 (Michigan) | Secondary |
| 103TF0000X | Psychologist - Family | 6301008104 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301008104 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Harriet J Mall is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Harriet J Mall, PHD
30445 Northwestern Hwy, Ste 310,
Farmington Hills, MI 48334-3102
Ph: (248) 538-5045 | Dr Harriet J Mall, PHD
30445 Northwestern Hwy, Suite #240,
Farmington Hills, MI 48334-3158
Ph: (248) 538-5045 |
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