| Aldad Medical PC | |
|
200 S 1st St Ann Arbor MI 48104-1306 | |
| (516) 505-7200 | |
| Not Available |
| Full Name | Aldad Medical PC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 S 1st St, Ann Arbor, Michigan |
| Authorized Official Name and Position | Tamir Aldad (PRESIDENT) |
| Authorized Official Contact | 5165057200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aldad Medical PC 510 Hempstead Tpke Rm 203 West Hempstead NY 11552-1152 Ph: (516) 559-4041 | Aldad Medical PC 200 S 1st St Ann Arbor MI 48104-1306 Ph: (516) 505-7200 |
| NPI Number | 1174784953 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 9234291436 |
|---|---|
| Medicare Enrollment ID | O20081223000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174784953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 157937 (New York) | Primary |
| 251B00000X | Case Management | () | Secondary |
| Provider Name | Charles David Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013230218 PECOS PAC ID: 4789675604 Enrollment ID: I20040520000181 |
| Provider Name | Elston L Volkerts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528270741 PECOS PAC ID: 9739271784 Enrollment ID: I20070822000555 |
| Provider Name | Ramsing Pardeshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205895760 PECOS PAC ID: 2860554078 Enrollment ID: I20090224000409 |
| Provider Name | Kyle a Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Jenna Taglienti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497915995 PECOS PAC ID: 7113180340 Enrollment ID: I20120525000016 |
| Provider Name | Wilmot Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003121674 PECOS PAC ID: 7315088945 Enrollment ID: I20150601001768 |
| Provider Name | Hammad Mohsin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205167624 PECOS PAC ID: 5092029629 Enrollment ID: I20150727002322 |
| Provider Name | Umer Farooq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487885513 PECOS PAC ID: 5092931956 Enrollment ID: I20160919000327 |
| Provider Name | Jannatul Noor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609242494 PECOS PAC ID: 8123315801 Enrollment ID: I20160923000253 |
| Provider Name | Amy C Dittler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366761009 PECOS PAC ID: 5092099895 Enrollment ID: I20170222001792 |
| Provider Name | Shiran H Aldad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982142212 PECOS PAC ID: 5799061990 Enrollment ID: I20170424000060 |
| Provider Name | Michael James Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952647638 PECOS PAC ID: 6103194600 Enrollment ID: I20170623001396 |
| Provider Name | Natalia Massar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598218182 PECOS PAC ID: 7719258474 Enrollment ID: I20170731001118 |
| Provider Name | Jacquelyn Gilde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184068066 PECOS PAC ID: 1850657552 Enrollment ID: I20171114000540 |
| Provider Name | Danielle Constance Mcdonaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467704494 PECOS PAC ID: 3971865007 Enrollment ID: I20180329000702 |
| Provider Name | Thomas Martin Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023274495 PECOS PAC ID: 7113148503 Enrollment ID: I20180416002561 |
| Provider Name | Luis R Espinal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538545553 PECOS PAC ID: 5890046783 Enrollment ID: I20180914001286 |
| Provider Name | Karen Nicole Finklea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891260683 PECOS PAC ID: 2365796430 Enrollment ID: I20181109000212 |
| Provider Name | Melissa Podkulski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184109084 PECOS PAC ID: 4385988401 Enrollment ID: I20181130000756 |
| Provider Name | Sara Missaoui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386156479 PECOS PAC ID: 4587903380 Enrollment ID: I20190221002226 |
| Provider Name | Nicholas Obertis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518339019 PECOS PAC ID: 3375884109 Enrollment ID: I20190404001587 |
| Provider Name | Patricia Rykert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518210202 PECOS PAC ID: 0042551749 Enrollment ID: I20190405002246 |
| Provider Name | Mariel Bazil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487093407 PECOS PAC ID: 2961744651 Enrollment ID: I20190429002669 |
| Provider Name | Noor Ennab |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447884358 PECOS PAC ID: 9133558026 Enrollment ID: I20200327001293 |
| Provider Name | Kamilia Ait Belkacem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003454117 PECOS PAC ID: 9537599642 Enrollment ID: I20200413002676 |
| Provider Name | Ivelina Gadelov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225676737 PECOS PAC ID: 8527498344 Enrollment ID: I20200420000587 |
| Provider Name | Tishana Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801438114 PECOS PAC ID: 6709207939 Enrollment ID: I20200526002551 |
| Provider Name | Trina Scholastica Mondal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083990493 PECOS PAC ID: 9335565241 Enrollment ID: I20200821001020 |
| Provider Name | Michael Destefano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407200116 PECOS PAC ID: 7214355130 Enrollment ID: I20200909002250 |
| Provider Name | Christine Tada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669823696 PECOS PAC ID: 8628481744 Enrollment ID: I20210111001856 |
| Provider Name | Tamir Aldad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407207830 PECOS PAC ID: 3577817899 Enrollment ID: I20210125002344 |
| Provider Name | Lena Najjarian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124563408 PECOS PAC ID: 4880959436 Enrollment ID: I20210126001114 |
| Provider Name | Frank Guastella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912445792 PECOS PAC ID: 7315351541 Enrollment ID: I20210130000067 |
| Provider Name | Nichole Elizabeth Sommers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578101564 PECOS PAC ID: 7618382359 Enrollment ID: I20210210003023 |
| Provider Name | Nilam Wadhvania |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437598562 PECOS PAC ID: 0143636761 Enrollment ID: I20210305002060 |
| Provider Name | Bryan Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891305645 PECOS PAC ID: 6305250846 Enrollment ID: I20210308001969 |
| Provider Name | Ava Nemes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437423860 PECOS PAC ID: 6709100696 Enrollment ID: I20210311001970 |
| Provider Name | Sabrina Walcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629651310 PECOS PAC ID: 7113336439 Enrollment ID: I20210517001562 |
| Provider Name | David W Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770904641 PECOS PAC ID: 5193124808 Enrollment ID: I20210601000900 |
| Provider Name | Victoria Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750935995 PECOS PAC ID: 3971904988 Enrollment ID: I20210629000850 |
| Provider Name | Monica Benjamin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720663727 PECOS PAC ID: 0143625871 Enrollment ID: I20210818003884 |
| Provider Name | Leunz Cadely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053940064 PECOS PAC ID: 0143627695 Enrollment ID: I20210925000075 |
| Provider Name | Caitlyn Sarich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205455078 PECOS PAC ID: 5092123836 Enrollment ID: I20211027001775 |
| Provider Name | Kesha Eden Cheron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557184 PECOS PAC ID: 8123363793 Enrollment ID: I20220302001217 |
| Provider Name | Angela Jessica Tatis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558982009 PECOS PAC ID: 4385038595 Enrollment ID: I20220304001560 |
| Provider Name | Kathleen Patterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457887408 PECOS PAC ID: 3577959972 Enrollment ID: I20220412002362 |
| Provider Name | Ayokunmi Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144996802 PECOS PAC ID: 8123424751 Enrollment ID: I20220422001265 |
| Provider Name | Lauri Ann Balter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538818125 PECOS PAC ID: 1456748276 Enrollment ID: I20220426002486 |
| Provider Name | Ryan Volk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447888532 PECOS PAC ID: 9830585751 Enrollment ID: I20220502000979 |
| Provider Name | Dawn Biddulph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851878102 PECOS PAC ID: 6204185598 Enrollment ID: I20220509000534 |
| Provider Name | Stephanie Liss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427659325 PECOS PAC ID: 9234517640 Enrollment ID: I20220525001890 |
| Provider Name | J Kristine Rendal-sattem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922696681 PECOS PAC ID: 0143608091 Enrollment ID: I20220604000160 |
| Provider Name | Aswathy Krishnakumar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457980302 PECOS PAC ID: 3870990740 Enrollment ID: I20220629003161 |
| Provider Name | Annalese Coogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245794627 PECOS PAC ID: 4486036274 Enrollment ID: I20220726001959 |
| Provider Name | Jacklyn Landres |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619646999 PECOS PAC ID: 9133500366 Enrollment ID: I20220805000946 |
| Provider Name | Donna Kathleen Vahovius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295075901 PECOS PAC ID: 4789064262 Enrollment ID: I20220810001610 |
| Provider Name | Tsz Hin Choi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992319966 PECOS PAC ID: 5597141077 Enrollment ID: I20221006001959 |
| Provider Name | Anna Katherine Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295483071 PECOS PAC ID: 5698153195 Enrollment ID: I20221006002093 |
| Provider Name | Molly K Rudinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962059022 PECOS PAC ID: 5890161178 Enrollment ID: I20221012002134 |
| Provider Name | Robert Marez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124532148 PECOS PAC ID: 7618225988 Enrollment ID: I20221109000995 |
| Provider Name | Christyn Anne Grillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225682586 PECOS PAC ID: 1951778653 Enrollment ID: I20221109002902 |
| Provider Name | Jennifer Scheck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568837151 PECOS PAC ID: 6406223031 Enrollment ID: I20221110001012 |
| Provider Name | Sheba Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619692258 PECOS PAC ID: 4183093602 Enrollment ID: I20221206000063 |
| Provider Name | Mary T Denning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174999437 PECOS PAC ID: 0143690693 Enrollment ID: I20221228001396 |
| Provider Name | Oluseyi Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396311452 PECOS PAC ID: 7911303524 Enrollment ID: I20230127002526 |
| Provider Name | Gineth Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508384397 PECOS PAC ID: 5597139386 Enrollment ID: I20230317001074 |
| Provider Name | Jesse Palermo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407285893 PECOS PAC ID: 2668808759 Enrollment ID: I20230407000854 |
| Provider Name | Mariel Teresa Feld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518513308 PECOS PAC ID: 0547635344 Enrollment ID: I20230410001104 |
| Provider Name | Michelle Lajoie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952817736 PECOS PAC ID: 8325403611 Enrollment ID: I20230419002461 |
| Provider Name | Keisha Gordon-primus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093196537 PECOS PAC ID: 2961786884 Enrollment ID: I20230518001192 |
| Provider Name | Brittney Ashley Mcpherson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306318399 PECOS PAC ID: 8729446141 Enrollment ID: I20230616001380 |
| Provider Name | Sonal Ramesh Jagasia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912223306 PECOS PAC ID: 3870804420 Enrollment ID: I20230627003153 |
| Provider Name | Paige Picascio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780372805 PECOS PAC ID: 4880055722 Enrollment ID: I20230725003242 |
| Provider Name | April Guilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285926 PECOS PAC ID: 8527395532 Enrollment ID: I20230727000897 |
| Provider Name | Kendall Godt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487338406 PECOS PAC ID: 2466813811 Enrollment ID: I20230801002819 |
| Provider Name | Kendra Baxter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962175885 PECOS PAC ID: 6800258534 Enrollment ID: I20230814000421 |
| Provider Name | Paul Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558144196 PECOS PAC ID: 7719341759 Enrollment ID: I20230911000883 |
| Provider Name | Jean Aluc |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477266765 PECOS PAC ID: 7618331158 Enrollment ID: I20230915002551 |
| Provider Name | Yaicha Bryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689076861 PECOS PAC ID: 3375765019 Enrollment ID: I20230923000323 |
| Provider Name | Kelly Roses |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962070995 PECOS PAC ID: 3870948896 Enrollment ID: I20231011003019 |
| Provider Name | Elizabeth Adelakun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598919342 PECOS PAC ID: 3779843305 Enrollment ID: I20231011003337 |
| Provider Name | Regine Blaise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144929209 PECOS PAC ID: 1153783477 Enrollment ID: I20231012001158 |
| Provider Name | Melissa Docteur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417737107 PECOS PAC ID: 4789039330 Enrollment ID: I20231017002017 |
| Provider Name | Olayemi Omotosho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033800503 PECOS PAC ID: 6800241472 Enrollment ID: I20231017002767 |
| Provider Name | Myrda Florvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972929453 PECOS PAC ID: 2466814884 Enrollment ID: I20231018001342 |
| Provider Name | Brianna Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083394480 PECOS PAC ID: 7517321334 Enrollment ID: I20231102001814 |
| Provider Name | Giitou Neor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700358728 PECOS PAC ID: 7113374893 Enrollment ID: I20231117001325 |
| Provider Name | Nicholas Lauricella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326773151 PECOS PAC ID: 3870978471 Enrollment ID: I20231207002871 |
| Provider Name | Erez Adan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396424529 PECOS PAC ID: 7810346285 Enrollment ID: I20231211001127 |
| Provider Name | Kristofer Mark Isaksen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790337590 PECOS PAC ID: 5890144976 Enrollment ID: I20231214002282 |
| Provider Name | Irene Gan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679900484 PECOS PAC ID: 9335375484 Enrollment ID: I20231215002075 |
| Provider Name | Paul Folk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003502204 PECOS PAC ID: 8921461666 Enrollment ID: I20231221002873 |
| Provider Name | Allison Carrie Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285410845 PECOS PAC ID: 2860848827 Enrollment ID: I20240118001346 |
| Provider Name | Gary a Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033892286 PECOS PAC ID: 5597118075 Enrollment ID: I20240131003779 |
| Provider Name | Stacey Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457059453 PECOS PAC ID: 5395102156 Enrollment ID: I20240419000318 |
| Provider Name | Roshni Sudhir Desai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215776430 PECOS PAC ID: 5496197782 Enrollment ID: I20240531003501 |
| Provider Name | Marie S Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679854970 PECOS PAC ID: 5991249112 Enrollment ID: I20240628002257 |
| Provider Name | Ngozi Nkemka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952065716 PECOS PAC ID: 1153713904 Enrollment ID: I20240702003200 |
| Provider Name | Jennifer Ramirez-srikishun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356884324 PECOS PAC ID: 2163967670 Enrollment ID: I20240709002317 |
| Provider Name | Anna Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134994718 PECOS PAC ID: 8729523071 Enrollment ID: I20240711001879 |
| Provider Name | Louqueta Cort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154817989 PECOS PAC ID: 8224574488 Enrollment ID: I20240724000508 |
| Provider Name | Erik Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841988029 PECOS PAC ID: 8921465675 Enrollment ID: I20240731003936 |
| Provider Name | Taylor Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952141327 PECOS PAC ID: 6507303906 Enrollment ID: I20240903003778 |
| Provider Name | Ashley Patricia Acocella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386467884 PECOS PAC ID: 2264966589 Enrollment ID: I20241108003433 |
| Provider Name | Thomas Crangle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134465370 PECOS PAC ID: 1254638539 Enrollment ID: I20241203001932 |
| Provider Name | Albert S Fiske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285407668 PECOS PAC ID: 6204362247 Enrollment ID: I20241213000848 |
| Provider Name | Beatrice Delatour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588219018 PECOS PAC ID: 2860928736 Enrollment ID: I20241216002381 |
| Provider Name | Karen Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952156556 PECOS PAC ID: 3779014501 Enrollment ID: I20241223003071 |
| Provider Name | Victoria Hung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417661323 PECOS PAC ID: 8921535212 Enrollment ID: I20241227001163 |
| Provider Name | Molly Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557598 PECOS PAC ID: 0941547913 Enrollment ID: I20250113002169 |
| Provider Name | Alisha Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184339301 PECOS PAC ID: 8325412406 Enrollment ID: I20250224002817 |
| Provider Name | Vesna Vidojevikj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659102812 PECOS PAC ID: 7911431630 Enrollment ID: I20250325003004 |
| Provider Name | Brittany a Downer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386319952 PECOS PAC ID: 0042722142 Enrollment ID: I20250624003814 |
| Provider Name | Haiyue Zhong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619775970 PECOS PAC ID: 4688172596 Enrollment ID: I20250825003092 |
| Provider Name | Kimberly Dolcin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811324155 PECOS PAC ID: 0143720995 Enrollment ID: I20250826000373 |
| Provider Name | Kylie Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871218495 PECOS PAC ID: 1658874599 Enrollment ID: I20250915002431 |
| Provider Name | Cristina P Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346135993 PECOS PAC ID: 2365943180 Enrollment ID: I20251021002051 |
| Provider Name | Amber Weis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992561252 PECOS PAC ID: 7517456080 Enrollment ID: I20251027002310 |
| Provider Name | Cynthia Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588402374 PECOS PAC ID: 5193261113 Enrollment ID: I20251031000933 |
| Provider Name | Katherine Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740955459 PECOS PAC ID: 9032695325 Enrollment ID: I20260107001087 |
| Provider Name | Clarissa Ariel Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942992730 PECOS PAC ID: 2567948714 Enrollment ID: I20260108000200 |
| Provider Name | Jessica Brigante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215536727 PECOS PAC ID: 4082192539 Enrollment ID: I20260127004585 |
| Provider Name | George Pahalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295185569 PECOS PAC ID: 1759856628 Enrollment ID: I20260408001734 |
| Provider Name | Michael Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073455127 PECOS PAC ID: 9638645732 Enrollment ID: I20260416001287 |
| Provider Name | Idalia Alavez Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851159628 PECOS PAC ID: 4587102991 Enrollment ID: I20260515000934 |
| Provider Name | Norma a Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366391922 PECOS PAC ID: 3375014327 Enrollment ID: I20260610001179 |
| Provider Name | Funmilayo Temitope Farinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811841596 PECOS PAC ID: 1153894886 Enrollment ID: I20260624003709 |
Mary K Anderson PhD PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 |
Jennifer Ratliff-moss Lmsw, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 |
Mcevilly Counseling PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St # St360, Ann Arbor, MI 48104 Phone: 248-736-7251 |
Andrea Dewey Lmsw PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St Ste 330, Ann Arbor, MI 48104 Phone: 734-255-2990 |
Enlightened Serenity Counseling Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 W Stadium Blvd # 3459, Ann Arbor, MI 48103 Phone: 734-352-7398 |
Lauren V. Kachorek, Ph.d., PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Suffolk St, Ann Arbor, MI 48103 Phone: 248-867-4550 |