| Apex Therapy Services, Inc | |
|
30200 Telegraph Rd Suite 207 Bingham Farms MI 48025-4502 | |
| (248) 712-1129 | |
| (248) 792-3249 |
| Full Name | Apex Therapy Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 30200 Telegraph Rd, Bingham Farms, Michigan |
| Authorized Official Name and Position | Ray Louis Kamoo (OWNER) |
| Authorized Official Contact | 2489100914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Therapy Services, Inc 30200 Telegraph Rd Suite 207 Bingham Farms MI 48025-4502 Ph: (248) 712-1129 | Apex Therapy Services, Inc 30200 Telegraph Rd Suite 207 Bingham Farms MI 48025-4502 Ph: (248) 712-1129 |
| NPI Number | 1881036754 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 06/20/2014 |
| Medicare PECOS PAC ID | 1951526029 |
|---|---|
| Medicare Enrollment ID | O20140703000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881036754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301007666 (Michigan) | Primary |
| Provider Name | Ray L Kamoo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013072164 PECOS PAC ID: 9931174257 Enrollment ID: I20040831000533 |
| Provider Name | Steven M Portnoy |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1528461746 PECOS PAC ID: 0143442384 Enrollment ID: I20141104000859 |
| Provider Name | Rhondi L Mcgill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063864494 PECOS PAC ID: 3971898503 Enrollment ID: I20160822002604 |
| Provider Name | Rochelle N Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467926592 PECOS PAC ID: 1557601853 Enrollment ID: I20190325000789 |
| Provider Name | Thomas C Bottenfield |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1558764670 PECOS PAC ID: 1759503329 Enrollment ID: I20200227000902 |
| Provider Name | Tina Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619481934 PECOS PAC ID: 7315301207 Enrollment ID: I20230911003529 |
| Provider Name | Angela G Chernyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568244267 PECOS PAC ID: 5193173144 Enrollment ID: I20231130003221 |
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