| Collaborative Health Center, Pllc | |
|
38807 Ann Arbor Rd Ste 9 Livonia MI 48150 | |
| (734) 772-0148 | |
| (734) 943-6051 |
| Full Name | Collaborative Health Center, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 38807 Ann Arbor Rd Ste 9, Livonia, Michigan |
| Authorized Official Name and Position | Peter Wyngaard (PRACTICE MANAGER) |
| Authorized Official Contact | 7347720148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Health Center, Pllc 38807 Ann Arbor Rd Suite 9 Livonia MI 48150-3896 Ph: (734) 772-0148 | Collaborative Health Center, Pllc 38807 Ann Arbor Rd Ste 9 Livonia MI 48150 Ph: (734) 772-0148 |
| NPI Number | 1609223825 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 10/24/2019 |
| Medicare PECOS PAC ID | 3274828934 |
|---|---|
| Medicare Enrollment ID | O20160822000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609223825 | NPI | - | NPPES |
| Provider Name | Mareen A Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255481479 PECOS PAC ID: 6901900356 Enrollment ID: I20070326000090 |
| Provider Name | Susan G Danielson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194029314 PECOS PAC ID: 2961652359 Enrollment ID: I20121019000537 |
| Provider Name | Melissa Osullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831685809 PECOS PAC ID: 8022497015 Enrollment ID: I20220622001129 |
| Provider Name | Rita Colleen Burd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588270904 PECOS PAC ID: 7911355367 Enrollment ID: I20231127001539 |
| Provider Name | Howard Isadore Zuckerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477943249 PECOS PAC ID: 9436507670 Enrollment ID: I20231128002053 |
| Provider Name | Katherine Lorraine Singal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235245283 PECOS PAC ID: 2365891165 Enrollment ID: I20231205002399 |
| Provider Name | Jeanine Marie Madsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700287851 PECOS PAC ID: 6002265980 Enrollment ID: I20231218003387 |
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