| Administrative Office | |
|
2399 E Walton Blvd Auburn Hills MI 48326-1955 | |
| (248) 475-6400 | |
| (248) 475-6402 |
| Full Name | Administrative Office |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2399 E Walton Blvd, Auburn Hills, Michigan |
| Authorized Official Name and Position | Brent Wirth (CEO/PRESIDENT) |
| Authorized Official Contact | 2484756400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Administrative Office 2399 E Walton Blvd Auburn Hills MI 48326-1955 Ph: (248) 475-6400 | Administrative Office 2399 E Walton Blvd Auburn Hills MI 48326-1955 Ph: (248) 475-6400 |
| NPI Number | 1376526616 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 9830141670 |
|---|---|
| Medicare Enrollment ID | O20050221000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376526616 | NPI | - | NPPES |
| Provider Name | William L Guy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295748101 PECOS PAC ID: 3870581861 Enrollment ID: I20040506000688 |
| Provider Name | Tariq A Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326133208 PECOS PAC ID: 7618932039 Enrollment ID: I20041124000923 |
| Provider Name | Marianna R Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821022013 PECOS PAC ID: 6709831969 Enrollment ID: I20050321000724 |
| Provider Name | Aruna Chandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225042872 PECOS PAC ID: 3173540622 Enrollment ID: I20051025000252 |
| Provider Name | Ruth Ann Louwsma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093096885 PECOS PAC ID: 5698796084 Enrollment ID: I20051213000660 |
| Provider Name | Fariha Qadir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255343802 PECOS PAC ID: 5890719231 Enrollment ID: I20060124000713 |
| Provider Name | Michelle H Hubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659399673 PECOS PAC ID: 9638185077 Enrollment ID: I20060222000757 |
| Provider Name | Maria Carolina Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013928860 PECOS PAC ID: 9830191311 Enrollment ID: I20070213000320 |
| Provider Name | Lori R Bjornson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992874077 PECOS PAC ID: 3173525409 Enrollment ID: I20070215000215 |
| Provider Name | Jill D Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598958043 PECOS PAC ID: 4981790052 Enrollment ID: I20071020000030 |
| Provider Name | Marvin W Faust |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427145812 PECOS PAC ID: 1658441530 Enrollment ID: I20080604000179 |
| Provider Name | Hanif Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609030147 PECOS PAC ID: 2466529474 Enrollment ID: I20080917000205 |
| Provider Name | Colleen Meade Ripper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487752812 PECOS PAC ID: 0143383836 Enrollment ID: I20090106000769 |
| Provider Name | Patrice M Duquette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346339249 PECOS PAC ID: 8527118777 Enrollment ID: I20090609000315 |
| Provider Name | Shawn M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205070505 PECOS PAC ID: 9436201050 Enrollment ID: I20090713000490 |
| Provider Name | Richard Lewis Linsk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356355580 PECOS PAC ID: 2365574001 Enrollment ID: I20100716000089 |
| Provider Name | Jennifer J Leeschroeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053528471 PECOS PAC ID: 2961694427 Enrollment ID: I20101004000263 |
| Provider Name | Sung-ran Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497796379 PECOS PAC ID: 1254523657 Enrollment ID: I20101004000900 |
| Provider Name | Rownak A Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497761019 PECOS PAC ID: 6901071240 Enrollment ID: I20111228000053 |
| Provider Name | Catherine A Mcquade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285915355 PECOS PAC ID: 6608036777 Enrollment ID: I20120327000733 |
| Provider Name | Heidi La Ret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710299607 PECOS PAC ID: 6002079365 Enrollment ID: I20120523000643 |
| Provider Name | Gerald R Kymla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942581640 PECOS PAC ID: 6709032584 Enrollment ID: I20120809000850 |
| Provider Name | Sandra K Deering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962500397 PECOS PAC ID: 9335390426 Enrollment ID: I20121120000231 |
| Provider Name | Duren R Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598003915 PECOS PAC ID: 9133374739 Enrollment ID: I20130305000623 |
| Provider Name | Monica Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346258795 PECOS PAC ID: 3678670866 Enrollment ID: I20130911000832 |
| Provider Name | Megan M Kerekes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780955591 PECOS PAC ID: 5294969937 Enrollment ID: I20131011000179 |
| Provider Name | Jackie L Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740431998 PECOS PAC ID: 3971732199 Enrollment ID: I20140211001596 |
| Provider Name | Jennifer Wims-madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245585710 PECOS PAC ID: 0143450437 Enrollment ID: I20140306001427 |
| Provider Name | Krystal M Lepoudre-johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104135607 PECOS PAC ID: 0547492613 Enrollment ID: I20140404000678 |
| Provider Name | Jill L Blevins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164635991 PECOS PAC ID: 5496971756 Enrollment ID: I20140722001106 |
| Provider Name | Scott Lmsw Garret Alan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891045456 PECOS PAC ID: 1052532702 Enrollment ID: I20141021001989 |
| Provider Name | Lauren Lietaert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508275330 PECOS PAC ID: 1850614355 Enrollment ID: I20150107001877 |
| Provider Name | Heather Nawrocki-cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639456015 PECOS PAC ID: 4082938030 Enrollment ID: I20150121001915 |
| Provider Name | Trisha Taylor Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568850196 PECOS PAC ID: 3870818552 Enrollment ID: I20150223000238 |
| Provider Name | Brianna A Newhouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659509156 PECOS PAC ID: 7911223540 Enrollment ID: I20150226000184 |
| Provider Name | Julie L Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053709626 PECOS PAC ID: 8527386622 Enrollment ID: I20150422000900 |
| Provider Name | Beverly Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457746471 PECOS PAC ID: 9537480504 Enrollment ID: I20150602001846 |
| Provider Name | Rebecca L Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467832204 PECOS PAC ID: 4587978721 Enrollment ID: I20150803000272 |
| Provider Name | Iyantta S Howell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750545075 PECOS PAC ID: 1759608904 Enrollment ID: I20150812006379 |
| Provider Name | Ronda J Reibscheid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548532682 PECOS PAC ID: 5890003651 Enrollment ID: I20150929001451 |
| Provider Name | Krystal M Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679850713 PECOS PAC ID: 9830492347 Enrollment ID: I20160115001535 |
| Provider Name | Lacretia Ranee Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346631470 PECOS PAC ID: 3274837331 Enrollment ID: I20160210000714 |
| Provider Name | Aimee N Cisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629400049 PECOS PAC ID: 9537452271 Enrollment ID: I20160719000458 |
| Provider Name | Leigh A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609186642 PECOS PAC ID: 3072806637 Enrollment ID: I20160720001728 |
| Provider Name | Mary A Bernier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720357791 PECOS PAC ID: 4183919038 Enrollment ID: I20160817001328 |
| Provider Name | Chelsea Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316354525 PECOS PAC ID: 2567759376 Enrollment ID: I20160922000484 |
| Provider Name | Kelly V Bouie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023561537 PECOS PAC ID: 2860770872 Enrollment ID: I20161026001628 |
| Provider Name | Crystal J Subotich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316219272 PECOS PAC ID: 0244519544 Enrollment ID: I20161109000527 |
| Provider Name | Jacqueline A Kaba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104160837 PECOS PAC ID: 7911291851 Enrollment ID: I20170317000093 |
| Provider Name | Anna M Dillaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528344371 PECOS PAC ID: 1850676347 Enrollment ID: I20170324000150 |
| Provider Name | Alison R Dib |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700201134 PECOS PAC ID: 0244517985 Enrollment ID: I20170504002345 |
| Provider Name | Lauren E Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043760515 PECOS PAC ID: 1052698792 Enrollment ID: I20170504002394 |
| Provider Name | Holly Snell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437402500 PECOS PAC ID: 8628348760 Enrollment ID: I20170721000766 |
| Provider Name | Katherine J Potts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932426517 PECOS PAC ID: 1052682812 Enrollment ID: I20170814000144 |
| Provider Name | Holly N Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265959050 PECOS PAC ID: 3870867518 Enrollment ID: I20170920000139 |
| Provider Name | Melissa A Serra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023364635 PECOS PAC ID: 2365716412 Enrollment ID: I20170928000233 |
| Provider Name | Joelee Bateman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700997152 PECOS PAC ID: 3577840214 Enrollment ID: I20170929000169 |
| Provider Name | Theresa Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518362029 PECOS PAC ID: 3577839877 Enrollment ID: I20171031001940 |
| Provider Name | Meri Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821525536 PECOS PAC ID: 6709145071 Enrollment ID: I20180111001884 |
| Provider Name | Nicole Hentschel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306373873 PECOS PAC ID: 5799040903 Enrollment ID: I20180517000744 |
| Provider Name | Jeffrey P Guina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073827275 PECOS PAC ID: 4587892039 Enrollment ID: I20180523002089 |
| Provider Name | Jennifer K Cavanagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417403254 PECOS PAC ID: 7618232547 Enrollment ID: I20180524002138 |
| Provider Name | Allison R Eckert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023458023 PECOS PAC ID: 5698020329 Enrollment ID: I20180620001062 |
| Provider Name | Aubrie L Kew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134464688 PECOS PAC ID: 2769738954 Enrollment ID: I20180629002595 |
| Provider Name | Jamie R Sweigart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578981700 PECOS PAC ID: 7315243565 Enrollment ID: I20180820002575 |
| Provider Name | Andrew Edward Moldenhauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881026284 PECOS PAC ID: 1951652122 Enrollment ID: I20180927000758 |
| Provider Name | Zahra H Moshref |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952899106 PECOS PAC ID: 8527302207 Enrollment ID: I20181206002181 |
| Provider Name | Kimberly Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386088763 PECOS PAC ID: 6406191998 Enrollment ID: I20190103001170 |
| Provider Name | Colleen Courtney Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447525712 PECOS PAC ID: 1456697390 Enrollment ID: I20190114001243 |
| Provider Name | Heather Marie Craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376091140 PECOS PAC ID: 3375886831 Enrollment ID: I20190524000281 |
| Provider Name | Elizabeth Jane Grahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093116576 PECOS PAC ID: 0941534036 Enrollment ID: I20190624001901 |
| Provider Name | Robert Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508245374 PECOS PAC ID: 8921332024 Enrollment ID: I20190624002010 |
| Provider Name | Heather Frances Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871937698 PECOS PAC ID: 7315272762 Enrollment ID: I20190708002740 |
| Provider Name | Megan Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568901213 PECOS PAC ID: 6800122060 Enrollment ID: I20190725000761 |
| Provider Name | Christina Anne Tokarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265814917 PECOS PAC ID: 9436485497 Enrollment ID: I20190729002229 |
| Provider Name | Brienne Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811542442 PECOS PAC ID: 4880924513 Enrollment ID: I20190924001016 |
| Provider Name | Jennifer Anne Kymla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346506300 PECOS PAC ID: 1153753900 Enrollment ID: I20191115001036 |
| Provider Name | Silke A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568016012 PECOS PAC ID: 9335571827 Enrollment ID: I20191121002705 |
| Provider Name | Monique Janice Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659822351 PECOS PAC ID: 1850726811 Enrollment ID: I20200121002418 |
| Provider Name | Jessica Davida Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629332572 PECOS PAC ID: 2668808494 Enrollment ID: I20200214000216 |
| Provider Name | Holly Sue Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003269036 PECOS PAC ID: 3274961123 Enrollment ID: I20200309000329 |
| Provider Name | Colleen L Hall-young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043841786 PECOS PAC ID: 5991136905 Enrollment ID: I20200507000473 |
| Provider Name | Victor Hugo Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699941112 PECOS PAC ID: 7214368133 Enrollment ID: I20200509000069 |
| Provider Name | Stacey Lynn Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174025308 PECOS PAC ID: 1759707193 Enrollment ID: I20200817002398 |
| Provider Name | Elizabeth Kronner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851835219 PECOS PAC ID: 3971923863 Enrollment ID: I20201014002634 |
| Provider Name | Kathleen Rose Burt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962995050 PECOS PAC ID: 1355754227 Enrollment ID: I20210114000207 |
| Provider Name | Kevin M Kulhanek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649610940 PECOS PAC ID: 3476966367 Enrollment ID: I20210114001059 |
| Provider Name | Roderick L Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225431109 PECOS PAC ID: 8325453129 Enrollment ID: I20210208002414 |
| Provider Name | Carolyn Bleibtrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275079402 PECOS PAC ID: 9436564614 Enrollment ID: I20210222000698 |
| Provider Name | Jessica Short-slack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023489770 PECOS PAC ID: 6901214956 Enrollment ID: I20210421000297 |
| Provider Name | Shirlann Victoria Krahulec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982013504 PECOS PAC ID: 0941618250 Enrollment ID: I20210426000696 |
| Provider Name | Rachel Ann Wittebols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013488055 PECOS PAC ID: 9335557610 Enrollment ID: I20210427000833 |
| Provider Name | Katie Dines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861077158 PECOS PAC ID: 8123437878 Enrollment ID: I20210510000513 |
| Provider Name | Aleya Marie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326520677 PECOS PAC ID: 1850700576 Enrollment ID: I20210511000392 |
| Provider Name | David Michael Bair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861977373 PECOS PAC ID: 8628479300 Enrollment ID: I20210701002569 |
| Provider Name | Emily Engler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457702979 PECOS PAC ID: 2769885177 Enrollment ID: I20210722002614 |
| Provider Name | Dolores Ann Burch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083752869 PECOS PAC ID: 2860896693 Enrollment ID: I20210802001462 |
| Provider Name | Deborah Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436999 PECOS PAC ID: 6800293382 Enrollment ID: I20210927000922 |
| Provider Name | Ashley Drogs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447929005 PECOS PAC ID: 5799174454 Enrollment ID: I20211118000642 |
| Provider Name | Monique Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194104638 PECOS PAC ID: 2163812405 Enrollment ID: I20211201000982 |
| Provider Name | Paul Witri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669942785 PECOS PAC ID: 6002206802 Enrollment ID: I20211210000553 |
| Provider Name | Leela Vasileff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447782834 PECOS PAC ID: 8820488596 Enrollment ID: I20211213000760 |
| Provider Name | Amber Brock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598263717 PECOS PAC ID: 4981097888 Enrollment ID: I20220216001325 |
| Provider Name | Rachel H Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033710058 PECOS PAC ID: 0941694483 Enrollment ID: I20220228001703 |
| Provider Name | Jimmy Ivy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821588294 PECOS PAC ID: 6507252236 Enrollment ID: I20220406001601 |
| Provider Name | Brittany S Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467021329 PECOS PAC ID: 8224424676 Enrollment ID: I20220412000318 |
| Provider Name | Alex Jeremy Chmara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629542634 PECOS PAC ID: 7719374578 Enrollment ID: I20220425002254 |
| Provider Name | Shanice Easley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619325792 PECOS PAC ID: 8325426059 Enrollment ID: I20220608000657 |
| Provider Name | Rebecca Marzloff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124543400 PECOS PAC ID: 9032590039 Enrollment ID: I20220722000347 |
| Provider Name | Jeffrey Douglas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184116113 PECOS PAC ID: 7719369313 Enrollment ID: I20220728002900 |
| Provider Name | Penny Luebs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467724765 PECOS PAC ID: 9739561895 Enrollment ID: I20220805001164 |
| Provider Name | Tracey Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205141595 PECOS PAC ID: 9032593439 Enrollment ID: I20220902002103 |
| Provider Name | Andrea Lippard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316299035 PECOS PAC ID: 8426429937 Enrollment ID: I20230120000420 |
| Provider Name | Amita Madan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114532538 PECOS PAC ID: 2264843473 Enrollment ID: I20230207002156 |
| Provider Name | Meenakumari Nannapaneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568523025 PECOS PAC ID: 0547632614 Enrollment ID: I20230218000529 |
| Provider Name | Catherine Marie Navarro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942320361 PECOS PAC ID: 5193198877 Enrollment ID: I20230228000404 |
| Provider Name | Kathleen Mary Hendricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265637821 PECOS PAC ID: 1951774553 Enrollment ID: I20230301002841 |
| Provider Name | Stephany Marie Trujillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821496084 PECOS PAC ID: 8325411952 Enrollment ID: I20230302000637 |
| Provider Name | Cassandra Werth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720403165 PECOS PAC ID: 9739552258 Enrollment ID: I20230303001830 |
| Provider Name | Leslie Tackitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720706336 PECOS PAC ID: 6002289527 Enrollment ID: I20230303001880 |
| Provider Name | Kari Alisa Kildow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245678788 PECOS PAC ID: 4587037015 Enrollment ID: I20230303002256 |
| Provider Name | Mark Stanley Lakier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730747692 PECOS PAC ID: 9638543754 Enrollment ID: I20230313001061 |
| Provider Name | Caitlin Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104569508 PECOS PAC ID: 2466826540 Enrollment ID: I20230314000933 |
| Provider Name | Vanessa Ann Jurewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962893552 PECOS PAC ID: 7618332867 Enrollment ID: I20230424001340 |
| Provider Name | Sumi Treesa Cyriac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043586449 PECOS PAC ID: 2860796166 Enrollment ID: I20230516000891 |
| Provider Name | Alexia Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003281304 PECOS PAC ID: 9436515368 Enrollment ID: I20230519000811 |
| Provider Name | Meheret Kassa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396219465 PECOS PAC ID: 4688032790 Enrollment ID: I20230622000870 |
| Provider Name | Daniela Kovacs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346572674 PECOS PAC ID: 6901266873 Enrollment ID: I20230724003947 |
| Provider Name | Scott Richard Schadel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538339551 PECOS PAC ID: 5496977670 Enrollment ID: I20230817003944 |
| Provider Name | Qasim Alkhafaf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861951014 PECOS PAC ID: 3971935032 Enrollment ID: I20230825002291 |
| Provider Name | Samita Chandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780259853 PECOS PAC ID: 8628477213 Enrollment ID: I20230831002013 |
| Provider Name | Zainab Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447924881 PECOS PAC ID: 1355704743 Enrollment ID: I20230901001008 |
| Provider Name | Liza Marie Zimmerman-slayton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619548906 PECOS PAC ID: 5698164101 Enrollment ID: I20230901001952 |
| Provider Name | Parthkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053980789 PECOS PAC ID: 3173986460 Enrollment ID: I20230905001835 |
| Provider Name | Firas Yatim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902574148 PECOS PAC ID: 9830552033 Enrollment ID: I20230905002716 |
| Provider Name | Jessica Ann Depetro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528636008 PECOS PAC ID: 1658771183 Enrollment ID: I20230907002123 |
| Provider Name | Kristin Rinehart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659334738 PECOS PAC ID: 4688627995 Enrollment ID: I20230918003525 |
| Provider Name | Lisa Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558958207 PECOS PAC ID: 2365896909 Enrollment ID: I20230929002124 |
| Provider Name | Kelly Morgan-harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427453026 PECOS PAC ID: 6507200045 Enrollment ID: I20240222004142 |
| Provider Name | Tamra Samuels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699223156 PECOS PAC ID: 5193169662 Enrollment ID: I20240223000828 |
| Provider Name | Andrew Albert Teolis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629743182 PECOS PAC ID: 3971947458 Enrollment ID: I20240223001059 |
| Provider Name | Serena Boldiszar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487079893 PECOS PAC ID: 2163867326 Enrollment ID: I20240227002637 |
| Provider Name | Hollie Born |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386001592 PECOS PAC ID: 7214372366 Enrollment ID: I20240228001607 |
| Provider Name | Amy Marie Desrocher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376867135 PECOS PAC ID: 2365887429 Enrollment ID: I20240228001832 |
| Provider Name | Melissa Gardiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538552807 PECOS PAC ID: 1658716717 Enrollment ID: I20240228002112 |
| Provider Name | Theresa Bundy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548890262 PECOS PAC ID: 6507201605 Enrollment ID: I20240228003541 |
| Provider Name | Kerry Mashburn Devee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992942908 PECOS PAC ID: 7517302623 Enrollment ID: I20240228003849 |
| Provider Name | Laura Gell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396041877 PECOS PAC ID: 2961847074 Enrollment ID: I20240228003923 |
| Provider Name | Gabriella Ann Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003256413 PECOS PAC ID: 3375988405 Enrollment ID: I20240228004456 |
| Provider Name | David Ronald Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639533045 PECOS PAC ID: 8224414636 Enrollment ID: I20240229000442 |
| Provider Name | Lasheenya Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346558541 PECOS PAC ID: 7315382363 Enrollment ID: I20240229000681 |
| Provider Name | Katie Lord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477947901 PECOS PAC ID: 0345685327 Enrollment ID: I20240229001622 |
| Provider Name | Mary Michele Morelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558756486 PECOS PAC ID: 6709221641 Enrollment ID: I20240229004130 |
| Provider Name | Brandon Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740704105 PECOS PAC ID: 0648615583 Enrollment ID: I20240229004348 |
| Provider Name | Ann Marie Ceci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225342892 PECOS PAC ID: 4183069917 Enrollment ID: I20240301003000 |
| Provider Name | Dennis Surhigh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093422271 PECOS PAC ID: 5395180186 Enrollment ID: I20240304000199 |
| Provider Name | Lisa Crane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073867891 PECOS PAC ID: 1254776958 Enrollment ID: I20240305000122 |
| Provider Name | Amanda Luteran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013330356 PECOS PAC ID: 9032555651 Enrollment ID: I20240306000804 |
| Provider Name | Mwanawa Bekinda Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821306275 PECOS PAC ID: 0244676799 Enrollment ID: I20240307000836 |
| Provider Name | Marta Malgorzata Kotlinska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861638355 PECOS PAC ID: 7810333176 Enrollment ID: I20240308000860 |
| Provider Name | Latoya Renee Irvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326388281 PECOS PAC ID: 8022454172 Enrollment ID: I20240311003871 |
| Provider Name | Kathryn Bonar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538584883 PECOS PAC ID: 2264878271 Enrollment ID: I20240313001659 |
| Provider Name | Kelly Danielle Treharne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023661071 PECOS PAC ID: 4688010408 Enrollment ID: I20240314001927 |
| Provider Name | Stephen Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770766404 PECOS PAC ID: 7517303316 Enrollment ID: I20240315000491 |
Clarkston Family Counseling Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2545 N Opdyke Rd, Suite 104, Auburn Hills, MI 48326 Phone: 248-373-1133 Fax: 248-373-1140 | |
Catholic Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 S Adams Rd, Auburn Hills, MI 48326 Phone: 248-537-3300 Fax: 248-537-3306 | |
Easter Seals Michigan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2387 E Walton Blvd, Auburn Hills, MI 48326 Phone: 248-475-6300 | |
Hani Mekhael Md Ii Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3265 Five Points Dr Ste A, Auburn Hills, MI 48326 Phone: 248-609-1234 | |
Easter Seals Michigan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2399 E Walton Blvd, Auburn Hills, MI 48326 Phone: 248-475-6400 Fax: 248-475-6402 | |
Insight Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3121 University Dr Ste 140, Auburn Hills, MI 48326 Phone: 248-923-2099 Fax: 248-923-2096 | |
Kim Dembrosky Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Doris Rd, Auburn Hills, MI 48326 Phone: 248-276-8000 Fax: 248-276-9280 |