| Associated Psychologists Plc | |
|
19900 10 Mile Road Ste 102 St Clair Shores MI 48080 | |
| (586) 776-3366 | |
| (586) 776-3369 |
| Full Name | Associated Psychologists Plc |
|---|---|
| Speciality | Psychologist |
| Location | 19900 10 Mile Road, St Clair Shores, Michigan |
| Authorized Official Name and Position | Ronald H Boardway (OWNER) |
| Authorized Official Contact | 5867763366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Psychologists Plc 19900 10 Mile Road Ste 102 St Clair Shores MI 48080 Ph: (586) 776-3366 | Associated Psychologists Plc 19900 10 Mile Road Ste 102 St Clair Shores MI 48080 Ph: (586) 776-3366 |
| NPI Number | 1629112420 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 5799827218 |
|---|---|
| Medicare Enrollment ID | O20100122000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629112420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Matthew P Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437321502 PECOS PAC ID: 9234109497 Enrollment ID: I20040727001046 |
| Provider Name | Jeffrey S Degroat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912946971 PECOS PAC ID: 1153376892 Enrollment ID: I20050316000204 |
| Provider Name | Wendy Bertges Yost |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235337866 PECOS PAC ID: 7214954791 Enrollment ID: I20051025000509 |
| Provider Name | Andrew D Maltz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518077627 PECOS PAC ID: 0840343141 Enrollment ID: I20090805000072 |
| Provider Name | Patricia K Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194831305 PECOS PAC ID: 3870635303 Enrollment ID: I20100122000094 |
| Provider Name | Cynthia K Neal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851400832 PECOS PAC ID: 0244372761 Enrollment ID: I20100320000114 |
| Provider Name | Ronald H Boardway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881703858 PECOS PAC ID: 3971645409 Enrollment ID: I20120614000605 |
| Provider Name | Jeffrey House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952547804 PECOS PAC ID: 4082049937 Enrollment ID: I20200122003043 |
Shores Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29700 Harper Ave, St Clair Shores, MI 48042 Phone: 248-840-5517 | |
Michigan Neurology Associates Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19699 E Eight Mile Rd, St Clair Shores, MI 48080 Phone: 586-445-9900 Fax: 586-776-4324 |