| Delta Psychological & Neurobehavioral Services, Llc | |
|
114 Tuscola Bay City MI 48708-6995 | |
| (989) 895-0788 | |
| (989) 895-0799 |
| Full Name | Delta Psychological & Neurobehavioral Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 114 Tuscola, Bay City, Michigan |
| Authorized Official Name and Position | Anne M Olsen (PARTNER CLINICAL PRACTICE) |
| Authorized Official Contact | 9898950788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Psychological & Neurobehavioral Services, Llc 114 Tuscola Bay City MI 48708-6995 Ph: (989) 895-0788 | Delta Psychological & Neurobehavioral Services, Llc 114 Tuscola Bay City MI 48708-6995 Ph: (989) 895-0788 |
| NPI Number | 1356376487 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 04/17/2013 |
| Medicare PECOS PAC ID | 5799728457 |
|---|---|
| Medicare Enrollment ID | O20050603000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356376487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Anne M Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821195124 PECOS PAC ID: 7315980075 Enrollment ID: I20050607000828 |
| Provider Name | James Olsen |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1700980083 PECOS PAC ID: 4688617343 Enrollment ID: I20060327000634 |
| Provider Name | Kaushik Jitendra Raval |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801995576 PECOS PAC ID: 5597774794 Enrollment ID: I20060417000631 |
| Provider Name | James A Caris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114066339 PECOS PAC ID: 7012090319 Enrollment ID: I20080211000043 |
| Provider Name | Victoria S Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093996837 PECOS PAC ID: 6507082211 Enrollment ID: I20140731002544 |
| Provider Name | Cynthia Lynn Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606098 PECOS PAC ID: 7416371349 Enrollment ID: I20200723003042 |
| Provider Name | David Chris Fike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316563844 PECOS PAC ID: 4082050638 Enrollment ID: I20240306001818 |
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