| Elm Street Clinic | |
|
700 N Old Woodward Ave Ste 300 Birmingham MI 48009-1338 | |
| (248) 642-8263 | |
| (248) 642-3862 |
| Full Name | Elm Street Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 N Old Woodward Ave, Birmingham, Michigan |
| Authorized Official Name and Position | Aldona M Valvivonis (PRESIDENT) |
| Authorized Official Contact | 2486428263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Street Clinic 700 N Old Woodward Ave Ste 300 Birmingham MI 48009-1338 Ph: (248) 642-8263 | Elm Street Clinic 700 N Old Woodward Ave Ste 300 Birmingham MI 48009-1338 Ph: (248) 642-8263 |
| NPI Number | 1669478921 |
|---|---|
| Provider Enumeration Date | 06/22/2005 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 1658274550 |
|---|---|
| Medicare Enrollment ID | O20040128001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669478921 | NPI | - | NPPES |
| 750910718 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rosemary E Mazurek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528114097 PECOS PAC ID: 6305826892 Enrollment ID: I20040723001201 |
| Provider Name | Stephen Wayne Pravel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497946263 PECOS PAC ID: 9335183680 Enrollment ID: I20050616001066 |
| Provider Name | Rochelle A Gold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902954787 PECOS PAC ID: 7517024896 Enrollment ID: I20090401000275 |
| Provider Name | Susan Hyde Bakker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447582762 PECOS PAC ID: 0840474888 Enrollment ID: I20110415000185 |
| Provider Name | Sally J Rosenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033150396 PECOS PAC ID: 9931352929 Enrollment ID: I20121222000005 |
| Provider Name | Pamela H. Minelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144693524 PECOS PAC ID: 0941504880 Enrollment ID: I20160212001236 |
Judith M. Paskiewicz, Ph.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 600 N Old Woodward Ave, Birmingham, MI 48009 Phone: 248-642-3337 | |
Linda Aardema Psy S Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Maple Rd, Suite 205, Birmingham, MI 48009 Phone: 248-540-4242 | |
Better Sex Institute Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 Haynes St Ste 300, Birmingham, MI 48009 Phone: 734-604-2278 | |
Germash Therapeutic Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 N Old Woodward Ave Ste 210, Birmingham, MI 48009 Phone: 734-719-1081 | |
Michelle Warren Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 Elm St Ste 1a, Birmingham, MI 48009 Phone: 248-302-0477 | |
Therapy With Saryn, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 Haynes St Ste 245, Birmingham, MI 48009 Phone: 248-238-8202 | |
David P. Stanislaw, Jr., M.s.w., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 N Old Woodward Ave, Birmingham, MI 48009 Phone: 248-645-2777 |