| Motor City Tms | |
|
1300 Broadway Suite 400 Detroit MI 48226 | |
| (313) 680-3799 | |
| Not Available |
| Full Name | Motor City Tms |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1300 Broadway, Detroit, Michigan |
| Authorized Official Name and Position | Robert Lagrou (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2487031869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Motor City Tms 1300 Broadway Suite 400 Detroit MI 48226 Ph: (586) 335-2006 | Motor City Tms 1300 Broadway Suite 400 Detroit MI 48226 Ph: (313) 680-3799 |
| NPI Number | 1689239683 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 0143552927 |
|---|---|
| Medicare Enrollment ID | O20191028002586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689239683 | NPI | - | NPPES |
| Provider Name | Robert J Lagrou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629279351 PECOS PAC ID: 3779645270 Enrollment ID: I20081217000396 |
| Provider Name | Angela E Eburuche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831595040 PECOS PAC ID: 9133366008 Enrollment ID: I20150130001021 |
| Provider Name | Anna K Vantoai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477931723 PECOS PAC ID: 2860765997 Enrollment ID: I20170912000364 |
| Provider Name | Kevin Sethi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922480680 PECOS PAC ID: 8921318346 Enrollment ID: I20190208002500 |
| Provider Name | Alyse Haddad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558873679 PECOS PAC ID: 9335572171 Enrollment ID: I20191209001062 |
| Provider Name | Mansi Sharadhumar Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609393735 PECOS PAC ID: 4486911005 Enrollment ID: I20210722002098 |
| Provider Name | Aaron Zalewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972231181 PECOS PAC ID: 9032582796 Enrollment ID: I20230227002845 |
| Provider Name | Michelle Henry Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720619901 PECOS PAC ID: 0143693242 Enrollment ID: I20230309002198 |
| Provider Name | Marissa Rose Dimambro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457131336 PECOS PAC ID: 6507217569 Enrollment ID: I20240104000711 |
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