| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 10/12/2007 |
| Medicare PECOS PAC ID | 3577456243 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003842774 PECOS PAC ID: 8820088479 Enrollment ID: I20040514001119 |
| Provider Name | Pamela D Kresta |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881957967 PECOS PAC ID: 5496055725 Enrollment ID: I20151118001754 |
| Provider Name | Lisa Lewandowski Romps |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134321110 PECOS PAC ID: 8123308962 Enrollment ID: I20161213001258 |
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