| Henry Ford Health System | |
|
2799 W Grand Blvd Detroit MI 48202-2608 | |
| (313) 916-2600 | |
| Not Available |
| Full Name | Henry Ford Health System |
|---|---|
| Speciality | Psychologist |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Kelly Ratowski (DIRECTOR OFFICE OF PROVIDER AFFAIRS) |
| Authorized Official Contact | 2487032003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 | Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 |
| NPI Number | 1114001468 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 0547178311 |
|---|---|
| Medicare Enrollment ID | O20031111000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114001468 | NPI | - | NPPES |
| Provider Name | Shibany Taormina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487691978 PECOS PAC ID: 6608882907 Enrollment ID: I20060223000474 |
| Provider Name | Brad M Merker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780801514 PECOS PAC ID: 6709973977 Enrollment ID: I20071105000313 |
| Provider Name | Michael A Czarnota |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699884429 PECOS PAC ID: 4688746126 Enrollment ID: I20080709000055 |
| Provider Name | Philip Lanzisera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093863680 PECOS PAC ID: 0345373775 Enrollment ID: I20100805000026 |
| Provider Name | Tracey Torosian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962531335 PECOS PAC ID: 1355527573 Enrollment ID: I20110523000671 |
| Provider Name | Michael E Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972882009 PECOS PAC ID: 2365611951 Enrollment ID: I20110817000146 |
| Provider Name | Brent A Funk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053659482 PECOS PAC ID: 1052556800 Enrollment ID: I20130326000521 |
| Provider Name | Jannel M Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104939107 PECOS PAC ID: 8628176377 Enrollment ID: I20140127000310 |
| Provider Name | Adrianna J Zec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508274572 PECOS PAC ID: 9234356551 Enrollment ID: I20140811001499 |
| Provider Name | Kelly L Bryce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538594692 PECOS PAC ID: 0547480030 Enrollment ID: I20141006000298 |
| Provider Name | Olga M Slavin-spenny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578839585 PECOS PAC ID: 9133447915 Enrollment ID: I20150407000449 |
| Provider Name | Amy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922441856 PECOS PAC ID: 9537474424 Enrollment ID: I20150821013101 |
| Provider Name | Maren E Hyde Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164806832 PECOS PAC ID: 2163738899 Enrollment ID: I20150826001214 |
| Provider Name | Maunda Snodgrass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255760617 PECOS PAC ID: 2668776592 Enrollment ID: I20160212000929 |
| Provider Name | Aaron J Hamann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083952824 PECOS PAC ID: 1153616891 Enrollment ID: I20160819002177 |
| Provider Name | Antu Segal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679923908 PECOS PAC ID: 2961798020 Enrollment ID: I20160915002519 |
| Provider Name | Maggie Gindlesperger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346573243 PECOS PAC ID: 7113215666 Enrollment ID: I20161017000377 |
| Provider Name | Erin Tobin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134658172 PECOS PAC ID: 6800165838 Enrollment ID: I20170707001556 |
| Provider Name | David A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659511194 PECOS PAC ID: 4486924370 Enrollment ID: I20170726000932 |
| Provider Name | Kellie M Martens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780107029 PECOS PAC ID: 8729350145 Enrollment ID: I20170821000941 |
| Provider Name | Taisel H Losada |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902397649 PECOS PAC ID: 0840541835 Enrollment ID: I20181002001423 |
| Provider Name | Dana R Connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720585201 PECOS PAC ID: 4284988494 Enrollment ID: I20181106002469 |
| Provider Name | Victorio M Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376691964 PECOS PAC ID: 4082947312 Enrollment ID: I20190531000747 |
| Provider Name | Megan K Ramthun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407450406 PECOS PAC ID: 0345652186 Enrollment ID: I20201218001463 |
| Provider Name | Maya Pinjala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376111377 PECOS PAC ID: 3577960129 Enrollment ID: I20210923002341 |
| Provider Name | Jameel M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346521135 PECOS PAC ID: 7113310475 Enrollment ID: I20220209000519 |
| Provider Name | Carly Brescacin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821748914 PECOS PAC ID: 7214315696 Enrollment ID: I20220526001768 |
| Provider Name | Marwa Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881313377 PECOS PAC ID: 1456737824 Enrollment ID: I20221008000192 |
| Provider Name | Michael Evitts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235703000 PECOS PAC ID: 1254718687 Enrollment ID: I20230606002522 |
| Provider Name | Shelly Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932775376 PECOS PAC ID: 4284011610 Enrollment ID: I20230715000430 |
| Provider Name | Jill Sattler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366542094 PECOS PAC ID: 3375994486 Enrollment ID: I20240112001315 |
| Provider Name | Jacquelyn N Buffo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104231729 PECOS PAC ID: 9638522832 Enrollment ID: I20240124001008 |
| Provider Name | Kimberly Wisniewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851462543 PECOS PAC ID: 1759734510 Enrollment ID: I20240129000282 |
| Provider Name | Kelly Queen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861590283 PECOS PAC ID: 6800818048 Enrollment ID: I20240220003248 |
| Provider Name | Bryan B Granger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073974234 PECOS PAC ID: 4284079104 Enrollment ID: I20240301002523 |
| Provider Name | Michael Hinkson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922162940 PECOS PAC ID: 6406293844 Enrollment ID: I20240321001606 |
| Provider Name | Eve Depascale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316616998 PECOS PAC ID: 8921545526 Enrollment ID: I20240731003533 |
| Provider Name | Chung-fu Cheng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538494695 PECOS PAC ID: 3577002658 Enrollment ID: I20240903004142 |
| Provider Name | Christyn R Hosking |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689400541 PECOS PAC ID: 7618409145 Enrollment ID: I20241022001739 |
| Provider Name | Kelsey Rae Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932774676 PECOS PAC ID: 4587032867 Enrollment ID: I20241126004313 |
| Provider Name | Cutrina Patrice Claxton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700265469 PECOS PAC ID: 9931638566 Enrollment ID: I20250128002859 |
| Provider Name | Brittany Nicole Peters Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629525654 PECOS PAC ID: 3476077207 Enrollment ID: I20250414001332 |
| Provider Name | Elise Sarah Pearl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619541174 PECOS PAC ID: 8820515273 Enrollment ID: I20250508001453 |
Bjc Counseling And Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16175 Asbury Park, Detroit, MI 48235 Phone: 313-673-1992 | |
Center For Establishing Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Riverfront Dr Apt 2610, Detroit, MI 48226 Phone: 313-288-2689 | |
Urban Unity Cdc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12400 E 7 Mile Rd, Detroit, MI 48205 Phone: 313-444-3990 | |
Community Social Services Of Wayne County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9851 Hamilton Ave, Detroit, MI 48202 Phone: 313-883-2339 Fax: 313-883-3957 | |
Emanuel T. Vanbolden, Phd, Lp, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Farnsworth St, Detroit, MI 48202 Phone: 313-577-2840 Fax: 313-577-8949 | |
Mindful Synergy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 W Grand Blvd Ste 1507, Detroit, MI 48202 Phone: 313-608-9512 Fax: 313-462-4829 | |
Embody Her Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Washington Blvd Ste 301, Detroit, MI 48226 Phone: 248-259-2562 |