| Oakland Psychological Clinic, P.c. | |
|
2550 S Telegraph Rd Suite 250 Bloomfield Hills MI 48302 | |
| (248) 322-0003 | |
| (248) 322-0006 |
| Full Name | Oakland Psychological Clinic, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2550 S Telegraph Rd, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, TREASURER, SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Psychological Clinic, P.c. Po Box 7008 Bloomfield Hills MI 48302-7008 Ph: (248) 322-0003 | Oakland Psychological Clinic, P.c. 2550 S Telegraph Rd Suite 250 Bloomfield Hills MI 48302 Ph: (248) 322-0003 |
| NPI Number | 1578546263 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Medicare PECOS PAC ID | 2163315086 |
|---|---|
| Medicare Enrollment ID | O20040317000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578546263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shuja Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427167378 PECOS PAC ID: 9335039817 Enrollment ID: I20040318000230 |
| Provider Name | Cheri H Dickinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972693604 PECOS PAC ID: 2860382397 Enrollment ID: I20040318000543 |
| Provider Name | Yvette G Storen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851347629 PECOS PAC ID: 4486643053 Enrollment ID: I20040510000143 |
| Provider Name | James A Cowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316097488 PECOS PAC ID: 8729067970 Enrollment ID: I20040720000495 |
| Provider Name | John A Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588747158 PECOS PAC ID: 7113978438 Enrollment ID: I20050203000717 |
| Provider Name | Susanne Myhrs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891095485 PECOS PAC ID: 0143269951 Enrollment ID: I20050502000385 |
| Provider Name | Diana J Diesch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518053560 PECOS PAC ID: 7517993835 Enrollment ID: I20050708000658 |
| Provider Name | Bettie Stokes Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497794002 PECOS PAC ID: 9931114899 Enrollment ID: I20060214000215 |
| Provider Name | Laurie D Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619071081 PECOS PAC ID: 8123033768 Enrollment ID: I20060217000433 |
| Provider Name | Lance Brian Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508950338 PECOS PAC ID: 1850300724 Enrollment ID: I20060420000574 |
| Provider Name | Talia K Al Hamando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033203161 PECOS PAC ID: 0941399554 Enrollment ID: I20071205000160 |
| Provider Name | Olimpia Neagoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063573418 PECOS PAC ID: 8426137100 Enrollment ID: I20080506000745 |
| Provider Name | Kathleen A Paulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881780104 PECOS PAC ID: 5193878999 Enrollment ID: I20090727000377 |
| Provider Name | Linda Shriver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679746556 PECOS PAC ID: 1658426358 Enrollment ID: I20090902000034 |
| Provider Name | Shobha Prasad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528132230 PECOS PAC ID: 6800925454 Enrollment ID: I20100520000452 |
| Provider Name | Elaine C Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902062615 PECOS PAC ID: 5496949208 Enrollment ID: I20101104001401 |
| Provider Name | Elizabeth Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740376060 PECOS PAC ID: 4183892417 Enrollment ID: I20110712000601 |
| Provider Name | Laurie K Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083848667 PECOS PAC ID: 7214100320 Enrollment ID: I20111107000413 |
| Provider Name | Raymond C Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194006221 PECOS PAC ID: 8224204607 Enrollment ID: I20120106000142 |
| Provider Name | Lashone M Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063787729 PECOS PAC ID: 1153551205 Enrollment ID: I20140311001194 |
| Provider Name | Sherry Lynn Mcclelland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154675205 PECOS PAC ID: 3375941057 Enrollment ID: I20211011001291 |
| Provider Name | Karen Currie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720428659 PECOS PAC ID: 0749668648 Enrollment ID: I20220606001488 |
| Provider Name | Jillian A Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679054613 PECOS PAC ID: 2769867936 Enrollment ID: I20220923002827 |
| Provider Name | Arielle Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821598160 PECOS PAC ID: 6002260163 Enrollment ID: I20230925000948 |
| Provider Name | Jerome Roberson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306073713 PECOS PAC ID: 7214381342 Enrollment ID: I20231003001133 |
| Provider Name | Rema Mourad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194433003 PECOS PAC ID: 9133577562 Enrollment ID: I20231127000528 |
| Provider Name | Lori Ann Mello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124699939 PECOS PAC ID: 0648628073 Enrollment ID: I20231127000697 |
| Provider Name | Linda Joyce Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437244258 PECOS PAC ID: 4183069446 Enrollment ID: I20240227002539 |
Bloomfield Neurology Clinic, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43494 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302 Phone: 248-338-8400 Fax: 248-338-8151 | |
Neurodiagnostic & Sleep Disorder Center Nsd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2525 S Telegraph Rd Ste 200, Bloomfield Hills, MI 48302 Phone: 248-451-1466 Fax: 248-451-1467 | |
Seymour Baxter M.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 456 Lone Pine Ct, Bloomfield Hills, MI 48304 Phone: 248-642-4820 | |
Janie Bishop Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 549 Kingsley Trl, Bloomfield Hills, MI 48304 Phone: 248-709-5455 | |
Bharat Tolia Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2550 Telegraph Road, Suite 235, Bloomfield Hills, MI 48302 Phone: 248-334-0115 Fax: 248-334-3338 | |
Laura Espinosa Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 39520 Woodward Ave, Suite 215, Bloomfield Hills, MI 48304 Phone: 248-925-2250 | |
Mind Connections, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304 Phone: 248-835-5705 Fax: 248-590-2867 |