| Ismail B. Sendi, Md, Pc | |
|
6549 Town Center Dr Suite A Clarkston MI 48346-4824 | |
| (248) 620-6400 | |
| (248) 620-6405 |
| Full Name | Ismail B. Sendi, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6549 Town Center Dr, Clarkston, Michigan |
| Authorized Official Name and Position | Julia Schiappacasse (ASST. DIRECTOR) |
| Authorized Official Contact | 2488551540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismail B. Sendi, Md, Pc 6549 Town Center Dr Suite A Clarkston MI 48346-4824 Ph: (248) 620-6400 | Ismail B. Sendi, Md, Pc 6549 Town Center Dr Suite A Clarkston MI 48346-4824 Ph: (248) 620-6400 |
| NPI Number | 1609882067 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 09/12/2016 |
| Medicare PECOS PAC ID | 4688674534 |
|---|---|
| Medicare Enrollment ID | O20061228000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609882067 | NPI | - | NPPES |
| 1609882067 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jeffrey A Sendi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730167800 PECOS PAC ID: 9436058328 Enrollment ID: I20040108000893 |
| Provider Name | Orlena B Merritt Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982632824 PECOS PAC ID: 4284535766 Enrollment ID: I20040309001292 |
| Provider Name | Norma K Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528003571 PECOS PAC ID: 4385614205 Enrollment ID: I20040728001192 |
| Provider Name | Carol A Roekle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902944507 PECOS PAC ID: 8123095213 Enrollment ID: I20040916001137 |
| Provider Name | David K Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497799951 PECOS PAC ID: 9537137195 Enrollment ID: I20040921000951 |
| Provider Name | Michael H Watts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447260419 PECOS PAC ID: 3577476118 Enrollment ID: I20041104000621 |
| Provider Name | Kelly Klings-elander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295853604 PECOS PAC ID: 8628026689 Enrollment ID: I20050106000067 |
| Provider Name | Mark L Diroff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578571642 PECOS PAC ID: 0042269334 Enrollment ID: I20050113000374 |
| Provider Name | Mary H Hoekstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932276037 PECOS PAC ID: 2769418474 Enrollment ID: I20050714000130 |
| Provider Name | Susan E Ruma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720155096 PECOS PAC ID: 0648286468 Enrollment ID: I20060302000271 |
| Provider Name | Aurora Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861590259 PECOS PAC ID: 7517963952 Enrollment ID: I20061009000196 |
| Provider Name | Michelle L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235235813 PECOS PAC ID: 8426056011 Enrollment ID: I20061114000540 |
| Provider Name | Robin Tiffany Sharabani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245248319 PECOS PAC ID: 6901806793 Enrollment ID: I20061229000057 |
| Provider Name | Charisse Hoppe Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255349320 PECOS PAC ID: 7911907795 Enrollment ID: I20070103000487 |
| Provider Name | Robert A Bringman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881602951 PECOS PAC ID: 7416958905 Enrollment ID: I20070126000019 |
| Provider Name | Susha Panicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558410787 PECOS PAC ID: 3274535042 Enrollment ID: I20070207000249 |
| Provider Name | Kimberly B Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114930690 PECOS PAC ID: 0749386621 Enrollment ID: I20070509000747 |
| Provider Name | Henry Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033243332 PECOS PAC ID: 2769589415 Enrollment ID: I20070515000296 |
| Provider Name | Robert Lagrou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629279351 PECOS PAC ID: 3779645270 Enrollment ID: I20081217000396 |
| Provider Name | Dennis W Schinzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093040966 PECOS PAC ID: 6709926306 Enrollment ID: I20091215000311 |
| Provider Name | Maria Nicole A Villafuerte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659576718 PECOS PAC ID: 4082892393 Enrollment ID: I20110708000262 |
| Provider Name | Melissa L Kozlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831228741 PECOS PAC ID: 0941460463 Enrollment ID: I20120321000048 |
| Provider Name | Shama D Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194844407 PECOS PAC ID: 0446414080 Enrollment ID: I20120612000537 |
| Provider Name | Doresea Lewis-bogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124218466 PECOS PAC ID: 7315182979 Enrollment ID: I20130402000289 |
| Provider Name | Monica Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346258795 PECOS PAC ID: 3678670866 Enrollment ID: I20130911000832 |
| Provider Name | Dalal Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760826176 PECOS PAC ID: 7012145709 Enrollment ID: I20131231000908 |
| Provider Name | Sushma Gunturu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861723215 PECOS PAC ID: 9537398524 Enrollment ID: I20140218000359 |
| Provider Name | Jason A Maroudis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174954531 PECOS PAC ID: 9537399258 Enrollment ID: I20140225001678 |
| Provider Name | Julia G Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568773851 PECOS PAC ID: 7214122746 Enrollment ID: I20140522001315 |
| Provider Name | Mara Lipkovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770809493 PECOS PAC ID: 7012130750 Enrollment ID: I20140527000699 |
| Provider Name | Kathy Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811339534 PECOS PAC ID: 2365764305 Enrollment ID: I20141203000346 |
| Provider Name | Laurie Rogoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396908117 PECOS PAC ID: 8022336817 Enrollment ID: I20150407000931 |
| Provider Name | Gail I Kiacz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538485115 PECOS PAC ID: 9638484207 Enrollment ID: I20150812007533 |
| Provider Name | Lauren Fournier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891128427 PECOS PAC ID: 5799085411 Enrollment ID: I20151202002583 |
| Provider Name | Kimberly Poirier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588065098 PECOS PAC ID: 4183917453 Enrollment ID: I20160725000488 |
| Provider Name | Trina Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992258362 PECOS PAC ID: 9234423377 Enrollment ID: I20160811001833 |
| Provider Name | Kaitlin Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376924076 PECOS PAC ID: 1850686650 Enrollment ID: I20160818000119 |
| Provider Name | Scott Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912235391 PECOS PAC ID: 0648567164 Enrollment ID: I20160928000372 |
| Provider Name | Gwendolyn La Croix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801343942 PECOS PAC ID: 9537443742 Enrollment ID: I20170308001087 |
| Provider Name | Katherine Windrim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508234162 PECOS PAC ID: 9234415936 Enrollment ID: I20170412001209 |
| Provider Name | Jennifer Renae Kljajic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346645413 PECOS PAC ID: 1456629484 Enrollment ID: I20170616000471 |
| Provider Name | Sarah Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942724463 PECOS PAC ID: 0648544627 Enrollment ID: I20170915000081 |
| Provider Name | Steven Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902287527 PECOS PAC ID: 1759641384 Enrollment ID: I20180130002358 |
| Provider Name | Amber L.m. Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154729275 PECOS PAC ID: 8527329143 Enrollment ID: I20180222001980 |
| Provider Name | Hannah Villapando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740783612 PECOS PAC ID: 1850653965 Enrollment ID: I20180328003061 |
| Provider Name | Jessica Klemanski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033613435 PECOS PAC ID: 3779837364 Enrollment ID: I20181119000126 |
| Provider Name | Melissa Wummel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982055943 PECOS PAC ID: 5991049819 Enrollment ID: I20181204002542 |
| Provider Name | Cody Shinavier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952878092 PECOS PAC ID: 0941545412 Enrollment ID: I20190103000476 |
| Provider Name | Shiba L Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041545 PECOS PAC ID: 6002151578 Enrollment ID: I20190103000573 |
| Provider Name | Catherine Barry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205294097 PECOS PAC ID: 3971841339 Enrollment ID: I20190208002103 |
| Provider Name | Nazish Siddiqui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740745173 PECOS PAC ID: 7517206766 Enrollment ID: I20190305002536 |
| Provider Name | Chelsea Nick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861048829 PECOS PAC ID: 0345579678 Enrollment ID: I20190911000986 |
| Provider Name | Janessa Gabrielle Perrin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255702080 PECOS PAC ID: 1557798311 Enrollment ID: I20200218000516 |
| Provider Name | Mayche Vang-kue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659919819 PECOS PAC ID: 2062849938 Enrollment ID: I20200305002584 |
| Provider Name | Madison E Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841724010 PECOS PAC ID: 1456772987 Enrollment ID: I20200609000335 |
| Provider Name | Ashleigh E Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053844795 PECOS PAC ID: 6406260926 Enrollment ID: I20210125001945 |
| Provider Name | Lonneisha Rutherford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700237526 PECOS PAC ID: 2264846344 Enrollment ID: I20210201002273 |
| Provider Name | Hillary Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629638895 PECOS PAC ID: 8729481700 Enrollment ID: I20210728002604 |
| Provider Name | Ashley Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073098919 PECOS PAC ID: 9537562350 Enrollment ID: I20210730000551 |
| Provider Name | Emily Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598347601 PECOS PAC ID: 8426448721 Enrollment ID: I20211130002510 |
| Provider Name | Kevin P Bautel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598428856 PECOS PAC ID: 1759771389 Enrollment ID: I20211214000865 |
| Provider Name | Carall Fillinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699317461 PECOS PAC ID: 3072904853 Enrollment ID: I20220105002241 |
| Provider Name | Melissa Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922538941 PECOS PAC ID: 1052790458 Enrollment ID: I20220615000684 |
| Provider Name | Amita Kapoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508502436 PECOS PAC ID: 8325420318 Enrollment ID: I20220808002591 |
| Provider Name | Jessica Shantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790255248 PECOS PAC ID: 1759759186 Enrollment ID: I20221116001196 |
| Provider Name | Maria Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912541053 PECOS PAC ID: 5991173106 Enrollment ID: I20221118002726 |
| Provider Name | Zeeshan Choudhry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770210924 PECOS PAC ID: 0042688640 Enrollment ID: I20221201000498 |
| Provider Name | Annissa Rosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285290536 PECOS PAC ID: 9830560457 Enrollment ID: I20230118002504 |
| Provider Name | James Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295257525 PECOS PAC ID: 5294106811 Enrollment ID: I20230118002516 |
| Provider Name | Matthew Bautel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245951870 PECOS PAC ID: 6204291701 Enrollment ID: I20230506000268 |
| Provider Name | Raphael Tramble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447864129 PECOS PAC ID: 2860850690 Enrollment ID: I20230626003035 |
| Provider Name | Ariana Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558929976 PECOS PAC ID: 8022476852 Enrollment ID: I20230626003087 |
| Provider Name | Sieglinde Stearns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518478932 PECOS PAC ID: 9739540501 Enrollment ID: I20230727000787 |
| Provider Name | Jessica Aiello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861084337 PECOS PAC ID: 6608220975 Enrollment ID: I20230921000243 |
| Provider Name | Celeste Fortune |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992371140 PECOS PAC ID: 2961856232 Enrollment ID: I20230921000268 |
| Provider Name | Kanika Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982006722 PECOS PAC ID: 4183078009 Enrollment ID: I20230927000418 |
| Provider Name | Lakita Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972224046 PECOS PAC ID: 8224486014 Enrollment ID: I20231205001711 |
| Provider Name | Amy L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104402379 PECOS PAC ID: 0042668832 Enrollment ID: I20231205001721 |
| Provider Name | Kali Whaley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336757046 PECOS PAC ID: 7113376799 Enrollment ID: I20231207002239 |
| Provider Name | Howard Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811632433 PECOS PAC ID: 9234589110 Enrollment ID: I20231219003007 |
| Provider Name | Martha Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558776104 PECOS PAC ID: 8123479425 Enrollment ID: I20240111001466 |
| Provider Name | Christina Petzel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104042548 PECOS PAC ID: 8628429883 Enrollment ID: I20240111004143 |
| Provider Name | Metaxas Simon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265034557 PECOS PAC ID: 1951752112 Enrollment ID: I20240111004282 |
| Provider Name | Sandra Siegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427431485 PECOS PAC ID: 5193176360 Enrollment ID: I20240111004500 |
| Provider Name | Megan Ellery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871953000 PECOS PAC ID: 2466804984 Enrollment ID: I20240122000186 |
| Provider Name | Kathryn Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336612746 PECOS PAC ID: 0345692794 Enrollment ID: I20240122001443 |
| Provider Name | Kevin Bradacs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700248382 PECOS PAC ID: 2365894748 Enrollment ID: I20240122002505 |
| Provider Name | Tiffany Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497097703 PECOS PAC ID: 1850744483 Enrollment ID: I20240130002196 |
| Provider Name | Bronwyn Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457872822 PECOS PAC ID: 0941653596 Enrollment ID: I20240130003058 |
| Provider Name | Jennifer Fehn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740770114 PECOS PAC ID: 4385097948 Enrollment ID: I20240130003167 |
| Provider Name | Jennifer Prestenbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104198332 PECOS PAC ID: 7214380831 Enrollment ID: I20240131001382 |
| Provider Name | Lynn Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881042984 PECOS PAC ID: 2769835206 Enrollment ID: I20240131002572 |
| Provider Name | Jillian Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033447545 PECOS PAC ID: 1850432451 Enrollment ID: I20240131003561 |
| Provider Name | Kenneth York |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215236328 PECOS PAC ID: 8921451428 Enrollment ID: I20240131004542 |
| Provider Name | James Collada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356612766 PECOS PAC ID: 2567813686 Enrollment ID: I20240201000689 |
| Provider Name | Lisa Kalinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336157403 PECOS PAC ID: 5092150557 Enrollment ID: I20240224000066 |
| Provider Name | Carter Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861255812 PECOS PAC ID: 0547607236 Enrollment ID: I20240318000497 |
| Provider Name | Phyllis Walter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538262480 PECOS PAC ID: 9032560172 Enrollment ID: I20240318000611 |
| Provider Name | Lauren Boddie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073198974 PECOS PAC ID: 5890133623 Enrollment ID: I20240329000882 |
| Provider Name | Tiffany Malory |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568004372 PECOS PAC ID: 4486093747 Enrollment ID: I20240418004049 |
| Provider Name | Bryan Garlington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386284149 PECOS PAC ID: 4880036920 Enrollment ID: I20240521003808 |
| Provider Name | Laurie Clemons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326563263 PECOS PAC ID: 5991248577 Enrollment ID: I20240624004238 |
| Provider Name | Sandrena Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508517574 PECOS PAC ID: 5395288831 Enrollment ID: I20240625001336 |
| Provider Name | Tanya Gillum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790561157 PECOS PAC ID: 8426592049 Enrollment ID: I20240706000042 |
| Provider Name | Shakesha Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154882918 PECOS PAC ID: 2466999149 Enrollment ID: I20240730003425 |
| Provider Name | Deanna Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487163879 PECOS PAC ID: 7618414285 Enrollment ID: I20240731002415 |
| Provider Name | Brenda Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316516347 PECOS PAC ID: 0547709248 Enrollment ID: I20240826003682 |
| Provider Name | Alexander Calvert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609349174 PECOS PAC ID: 6002357753 Enrollment ID: I20240920002265 |
| Provider Name | Brittany Borges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003415837 PECOS PAC ID: 5294266540 Enrollment ID: I20240927001038 |
| Provider Name | Felicia Desmit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063249548 PECOS PAC ID: 6002340601 Enrollment ID: I20241105001649 |
| Provider Name | Lekeisha Newbold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235694068 PECOS PAC ID: 3678007382 Enrollment ID: I20241116000121 |
Clarity Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6300 Sashabaw Rd Ste B, Clarkston, MI 48346 Phone: 517-202-2427 | |
12th Avenue Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5541 Warbler Dr, Clarkston, MI 48346 Phone: 248-795-5253 Fax: 248-928-5350 | |
Life Solutions Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8040 Ortonville Rd, Clarkston, MI 48348 Phone: 248-707-9477 | |
Milestones Aba Clinic Of Michigan Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5125 Indianwood Dr, Clarkston, MI 48348 Phone: 248-983-4828 Fax: 248-983-4839 | |
Kindmind Psychiatric Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5980 S Main St Ste 101, Clarkston, MI 48346 Phone: 248-470-7359 | |
Michigan Healthcare Professionals, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5625 Water Tower Pl Ste 340, Clarkston, MI 48346 Phone: 248-384-8130 Fax: 248-384-8131 | |
Convo Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10167 Graham Drive, Clarkston, MI 48348 Phone: 248-805-1764 |