| Biological Psychiatry Center, P.c. | |
|
25869 Kelly Rd Suite A Roseville MI 48066-4997 | |
| (586) 773-6020 | |
| (586) 773-6093 |
| Full Name | Biological Psychiatry Center, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 25869 Kelly Rd, Roseville, Michigan |
| Authorized Official Name and Position | Haresh S. Mehta (MEDICAL DIRECTOR / OWNER) |
| Authorized Official Contact | 5867736020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biological Psychiatry Center, P.c. 25869 Kelly Rd Suite A Roseville MI 48066-4997 Ph: (586) 773-6020 | Biological Psychiatry Center, P.c. 25869 Kelly Rd Suite A Roseville MI 48066-4997 Ph: (586) 773-6020 |
| NPI Number | 1073541769 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/23/2012 |
| Medicare PECOS PAC ID | 8820067200 |
|---|---|
| Medicare Enrollment ID | O20041001000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073541769 | NPI | - | NPPES |
| Provider Name | Stanley Edmund Stanczak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699824904 PECOS PAC ID: 8527037902 Enrollment ID: I20050228000100 |
| Provider Name | Michael Roger Horwitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487683322 PECOS PAC ID: 1355394669 Enrollment ID: I20050228000204 |
| Provider Name | Diane Gail Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245380781 PECOS PAC ID: 2961455282 Enrollment ID: I20050228000245 |
| Provider Name | Mary G Koukios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366643645 PECOS PAC ID: 0143385237 Enrollment ID: I20090225000114 |
| Provider Name | Mary Decarolis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003026089 PECOS PAC ID: 8022235852 Enrollment ID: I20140819000236 |
| Provider Name | Denise A Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104135482 PECOS PAC ID: 1850688979 Enrollment ID: I20160916002073 |
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