| Behavioral Medicine Associates Of Mid Michigan Pc | |
|
1205 E Wackerly St Midland MI 48642-7035 | |
| (989) 832-9161 | |
| (989) 832-8813 |
| Full Name | Behavioral Medicine Associates Of Mid Michigan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1205 E Wackerly St, Midland, Michigan |
| Authorized Official Name and Position | Lynn Elaine Simons (DIRECTOR) |
| Authorized Official Contact | 9898329161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine Associates Of Mid Michigan Pc 1205 E Wackerly St Midland MI 48642-7035 Ph: (989) 832-9161 | Behavioral Medicine Associates Of Mid Michigan Pc 1205 E Wackerly St Midland MI 48642-7035 Ph: (989) 832-9161 |
| NPI Number | 1740370089 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 12/04/2014 |
| Medicare PECOS PAC ID | 6103823406 |
|---|---|
| Medicare Enrollment ID | O20061030000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740370089 | NPI | - | NPPES |
| 0P36530 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lynn Elaine Simons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457321291 PECOS PAC ID: 6002813300 Enrollment ID: I20061030000435 |
| Provider Name | Eric D Ozkan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518926633 PECOS PAC ID: 5294735924 Enrollment ID: I20070103000367 |
| Provider Name | John E Scalise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346320454 PECOS PAC ID: 4385811645 Enrollment ID: I20120127000232 |
| Provider Name | Garry D Waterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932146230 PECOS PAC ID: 4385969013 Enrollment ID: I20150220001067 |
| Provider Name | Kindra Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962064188 PECOS PAC ID: 2264828557 Enrollment ID: I20220414000616 |
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