| Lincoln Behavioral Services | |
|
9315 Telegraph Rd Redford MI 48239 | |
| (313) 450-4500 | |
| (313) 450-4514 |
| Full Name | Lincoln Behavioral Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9315 Telegraph Rd, Redford, Michigan |
| Authorized Official Name and Position | Theresa Korroch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3134504500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Behavioral Services 9315 Telegraph Rd Redford MI 48239 Ph: (313) 450-4500 | Lincoln Behavioral Services 9315 Telegraph Rd Redford MI 48239 Ph: (313) 450-4500 |
| NPI Number | 1669451944 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/21/2020 |
| Medicare PECOS PAC ID | 7113816612 |
|---|---|
| Medicare Enrollment ID | O20040312000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669451944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Asha Jain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750327573 PECOS PAC ID: 1355243759 Enrollment ID: I20040126000368 |
| Provider Name | Javaid M-r Arrine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992742597 PECOS PAC ID: 7416859780 Enrollment ID: I20040126000866 |
| Provider Name | Ismath K Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083624134 PECOS PAC ID: 9335135722 Enrollment ID: I20040421001597 |
| Provider Name | Usha Sudindranath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578638862 PECOS PAC ID: 7315833134 Enrollment ID: I20040623001625 |
| Provider Name | Someswara N Navuluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669419156 PECOS PAC ID: 6507835386 Enrollment ID: I20040928001265 |
| Provider Name | Lawrence N Nahrgang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770593022 PECOS PAC ID: 0042275588 Enrollment ID: I20041124000305 |
| Provider Name | Abdul Hafeez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770593766 PECOS PAC ID: 0345205472 Enrollment ID: I20041130000761 |
| Provider Name | Vera R Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568526416 PECOS PAC ID: 5496785073 Enrollment ID: I20050816000134 |
| Provider Name | Mohamed Siddique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114086857 PECOS PAC ID: 2961429055 Enrollment ID: I20051027001131 |
| Provider Name | Satish K Cham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962472654 PECOS PAC ID: 2961419544 Enrollment ID: I20060308000073 |
| Provider Name | Karen L Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386642791 PECOS PAC ID: 1951303155 Enrollment ID: I20070131000569 |
| Provider Name | Samina A Ghazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754980 PECOS PAC ID: 2264528827 Enrollment ID: I20071012000630 |
| Provider Name | Shabana N Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790955219 PECOS PAC ID: 3779651351 Enrollment ID: I20081009000293 |
| Provider Name | Suhasini S Mistry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609831825 PECOS PAC ID: 4082772371 Enrollment ID: I20081014000707 |
| Provider Name | Jaswant S Bagga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740349620 PECOS PAC ID: 7810026408 Enrollment ID: I20100519000662 |
| Provider Name | Sarah M Kraft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780012765 PECOS PAC ID: 9537397955 Enrollment ID: I20140110000676 |
| Provider Name | Becky Sue Brant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013200476 PECOS PAC ID: 1355571688 Enrollment ID: I20140305001171 |
| Provider Name | Prasad G M Sripada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740216134 PECOS PAC ID: 8729078142 Enrollment ID: I20140310001834 |
| Provider Name | Linda C Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679879852 PECOS PAC ID: 1153649181 Enrollment ID: I20150423000179 |
| Provider Name | Vaiva Varner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548691892 PECOS PAC ID: 3375846413 Enrollment ID: I20160122000999 |
| Provider Name | Deangella R Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700328135 PECOS PAC ID: 2365724838 Enrollment ID: I20170117002271 |
| Provider Name | Dov Rapoport |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376971176 PECOS PAC ID: 3072421999 Enrollment ID: I20171016001012 |
| Provider Name | Lisa M Stawarz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174755730 PECOS PAC ID: 4183951973 Enrollment ID: I20190816002331 |
| Provider Name | Kelly S Shakoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043794829 PECOS PAC ID: 9234562430 Enrollment ID: I20191202001305 |
| Provider Name | Megan Losik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457846636 PECOS PAC ID: 0446661318 Enrollment ID: I20201130001943 |
| Provider Name | Rakesh Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437445475 PECOS PAC ID: 6002050010 Enrollment ID: I20201229001491 |
| Provider Name | Nathan A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024891 PECOS PAC ID: 4284048901 Enrollment ID: I20210120002366 |
| Provider Name | Emily Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639645005 PECOS PAC ID: 1658764691 Enrollment ID: I20220215001264 |
| Provider Name | Alana Kelsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093200065 PECOS PAC ID: 1355737545 Enrollment ID: I20220418000388 |
| Provider Name | Duane K Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386048478 PECOS PAC ID: 6507222189 Enrollment ID: I20230524001920 |
| Provider Name | Bethany Range |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063874394 PECOS PAC ID: 8426416983 Enrollment ID: I20230615002340 |
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