Northbrook Psychological Clinic Plc | |
43450 W 10 Mile Rd Novi MI 48375-3172 | |
(248) 344-7420 | |
(248) 344-7423 |
Full Name | Northbrook Psychological Clinic Plc |
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Speciality | Psychologist |
Location | 43450 W 10 Mile Rd, Novi, Michigan |
Authorized Official Name and Position | Pamela D Kresta (OWNER) |
Authorized Official Contact | 2483447420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northbrook Psychological Clinic Plc 43450 W 10 Mile Rd Novi MI 48375-3172 Ph: (248) 344-7420 | Northbrook Psychological Clinic Plc 43450 W 10 Mile Rd Novi MI 48375-3172 Ph: (248) 344-7420 |
NPI Number | 1841279288 |
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Provider Enumeration Date | 01/13/2006 |
Last Update Date | 10/12/2007 |
Medicare PECOS PAC ID | 3577456243 |
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Medicare Enrollment ID | O20040514001041 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841279288 | NPI | - | NPPES |
8008927170 | Other | MI | BCBS SOCIAL WORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Julie M Duprey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003842774 PECOS PAC ID: 8820088479 Enrollment ID: I20040514001119 |
Provider Name | David N Mittelman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1669427639 PECOS PAC ID: 2062468085 Enrollment ID: I20050323000569 |
Provider Name | Pamela D Kresta |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1568519528 PECOS PAC ID: 7012907660 Enrollment ID: I20060104000394 |
Provider Name | Stacey M Mejia |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932465325 PECOS PAC ID: 8022253210 Enrollment ID: I20130315000428 |
Provider Name | Crystal C Shilling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881957967 PECOS PAC ID: 5496055725 Enrollment ID: I20151118001754 |
Provider Name | Lisa Lewandowski Romps |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134321110 PECOS PAC ID: 8123308962 Enrollment ID: I20161213001258 |
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