| Cruz Clinic | |
|
17177 N Laurel Park Dr Suite 131 Livonia MI 48152-2693 | |
| (734) 462-3210 | |
| (734) 462-1024 |
| Full Name | Cruz Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17177 N Laurel Park Dr, Livonia, Michigan |
| Authorized Official Name and Position | Victor Cruz (PRESIDENT) |
| Authorized Official Contact | 7344623210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cruz Clinic 17177 N Laurel Park Dr Suite 131 Livonia MI 48152-2693 Ph: (734) 462-3210 | Cruz Clinic 17177 N Laurel Park Dr Suite 131 Livonia MI 48152-2693 Ph: (734) 462-3210 |
| NPI Number | 1023036514 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 01/24/2012 |
| Medicare PECOS PAC ID | 3375604952 |
|---|---|
| Medicare Enrollment ID | O20081202000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023036514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Susan J Duart Digon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437116092 PECOS PAC ID: 6204816796 Enrollment ID: I20040723001210 |
| Provider Name | Helen Kanter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942396254 PECOS PAC ID: 1951364009 Enrollment ID: I20041109000959 |
| Provider Name | Karen D Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497834717 PECOS PAC ID: 1153346556 Enrollment ID: I20051013000711 |
| Provider Name | Mohamed Siddique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114086857 PECOS PAC ID: 2961429055 Enrollment ID: I20051027001131 |
| Provider Name | Fred W Stelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275718553 PECOS PAC ID: 3274525241 Enrollment ID: I20080419000028 |
| Provider Name | Victor M Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285669325 PECOS PAC ID: 9931260510 Enrollment ID: I20081202000478 |
| Provider Name | Orlando Luis Villegas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316965858 PECOS PAC ID: 5092876672 Enrollment ID: I20081202000691 |
| Provider Name | Tonia G Busch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144406794 PECOS PAC ID: 0749341246 Enrollment ID: I20081202000743 |
| Provider Name | Denise P Sole |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1982625331 PECOS PAC ID: 4688737463 Enrollment ID: I20090106000589 |
| Provider Name | Sabrina F Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669674388 PECOS PAC ID: 1951464569 Enrollment ID: I20090108000220 |
| Provider Name | Robert K Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013057876 PECOS PAC ID: 4587720685 Enrollment ID: I20090225000315 |
| Provider Name | Lubna S Izzathullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730372228 PECOS PAC ID: 6800983248 Enrollment ID: I20090622000587 |
| Provider Name | Kristin Hammoud |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164433470 PECOS PAC ID: 3971645391 Enrollment ID: I20100123000139 |
| Provider Name | Stephen J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023042983 PECOS PAC ID: 8426241621 Enrollment ID: I20101020000892 |
| Provider Name | Donald F Zaksek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902014871 PECOS PAC ID: 8325223373 Enrollment ID: I20110506000363 |
| Provider Name | Matthew Patrick Sokol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548281983 PECOS PAC ID: 9133280621 Enrollment ID: I20110506000461 |
| Provider Name | Tehmina Shakir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366659260 PECOS PAC ID: 5193985414 Enrollment ID: I20120323000486 |
| Provider Name | Samuel H Wedes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194031062 PECOS PAC ID: 8527286764 Enrollment ID: I20140829000142 |
| Provider Name | Daniel M Figueredo Leal |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1396998258 PECOS PAC ID: 3476869017 Enrollment ID: I20150827002584 |
| Provider Name | Anna E Millard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972986644 PECOS PAC ID: 5092015057 Enrollment ID: I20151123001851 |
| Provider Name | Maria Puscas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346524543 PECOS PAC ID: 3072819283 Enrollment ID: I20160315001435 |
| Provider Name | Monica Elena Villa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083966097 PECOS PAC ID: 7113203548 Enrollment ID: I20170419000371 |
| Provider Name | Ricky L Jentons |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1922297076 PECOS PAC ID: 0042596496 Enrollment ID: I20170419001194 |
| Provider Name | Michael Mogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932651015 PECOS PAC ID: 4385919265 Enrollment ID: I20171003004601 |
| Provider Name | Laura L Feeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669642534 PECOS PAC ID: 9537246947 Enrollment ID: I20190116002361 |
| Provider Name | Janis Haggerty |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1285075291 PECOS PAC ID: 1355688607 Enrollment ID: I20190124003708 |
| Provider Name | Christine J Williams |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1215104203 PECOS PAC ID: 5395085393 Enrollment ID: I20190328001148 |
| Provider Name | Brittany R Burns |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1588146831 PECOS PAC ID: 6800129172 Enrollment ID: I20190603000049 |
| Provider Name | Rachel Sienko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134617731 PECOS PAC ID: 1850627720 Enrollment ID: I20190730003270 |
| Provider Name | Gurkanwal Sidhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598184665 PECOS PAC ID: 3274842000 Enrollment ID: I20190805000321 |
| Provider Name | Martha Firnschild |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1275642548 PECOS PAC ID: 7810224318 Enrollment ID: I20190806003732 |
| Provider Name | Stephen D Nelson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1215256821 PECOS PAC ID: 1254661549 Enrollment ID: I20190930002666 |
| Provider Name | Olivia Abouna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619516085 PECOS PAC ID: 4183052715 Enrollment ID: I20200314000043 |
| Provider Name | Talib Kafaji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700477924 PECOS PAC ID: 2466868765 Enrollment ID: I20210311001433 |
| Provider Name | Megan Peoples |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1073032744 PECOS PAC ID: 5294142717 Enrollment ID: I20210330001911 |
| Provider Name | Carie Mcgauley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114591963 PECOS PAC ID: 6406255066 Enrollment ID: I20210602000420 |
| Provider Name | Aum Aeeman Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740711605 PECOS PAC ID: 0345599239 Enrollment ID: I20211022002401 |
| Provider Name | Lauren Henderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558859090 PECOS PAC ID: 1850778929 Enrollment ID: I20220816001088 |
| Provider Name | Lilah Clevey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528632536 PECOS PAC ID: 3072916329 Enrollment ID: I20220928001228 |
| Provider Name | Amanda Stout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710543269 PECOS PAC ID: 5193059632 Enrollment ID: I20220928002130 |
| Provider Name | Nancy Mihalik |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1174729370 PECOS PAC ID: 2163893363 Enrollment ID: I20230126001856 |
| Provider Name | Rachel Goutman |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1831670736 PECOS PAC ID: 2264891589 Enrollment ID: I20230705002815 |
| Provider Name | Shannan Lustig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053904615 PECOS PAC ID: 5395199210 Enrollment ID: I20230927000333 |
| Provider Name | Leah Welton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003217340 PECOS PAC ID: 3779932843 Enrollment ID: I20231214001894 |
| Provider Name | Xochitl Carrasquedo |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1881098713 PECOS PAC ID: 4284077520 Enrollment ID: I20240203000281 |
| Provider Name | Riley Halek |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1669064028 PECOS PAC ID: 4688018302 Enrollment ID: I20240221000432 |
| Provider Name | Cynthia Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497032643 PECOS PAC ID: 3072958735 Enrollment ID: I20240304003044 |
| Provider Name | Taylor R Jones |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1346715422 PECOS PAC ID: 9133564768 Enrollment ID: I20240305001757 |
Modern Psychiatry Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39000 7 Mile Rd # 3100, Livonia, MI 48152 Phone: 734-743-3480 | |
C. Victoria Harrington, Acsw, Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 37799 Professional Center Dr, Suite 106, Livonia, MI 48154 Phone: 248-349-8934 | |
Continuum Psychiatric Services, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28275 Five Mile Rd, Livonia, MI 48154 Phone: 734-402-0254 Fax: 734-402-0255 | |
Hope Link, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18315 Queensbury Dr, Livonia, MI 48152 Phone: 248-559-1990 | |
Lmh Group Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 39293 Plymouth Rd Ste 117, Livonia, MI 48150 Phone: 734-494-0566 | |
Luis Pomodoro M D P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15645 Farmington Rd, Livonia, MI 48154 Phone: 734-425-5320 Fax: 734-425-6212 |