| Old Town Psychological Services | |
|
512 S Union St Traverse City MI 49684-3247 | |
| (231) 941-6550 | |
| Not Available |
| Full Name | Old Town Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 512 S Union St, Traverse City, Michigan |
| Authorized Official Name and Position | Michael P Hayes (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2319416550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Psychological Services 512 S Union St Traverse City MI 49684-3247 Ph: () - | Old Town Psychological Services 512 S Union St Traverse City MI 49684-3247 Ph: (231) 941-6550 |
| NPI Number | 1093989162 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 05/06/2010 |
| Medicare PECOS PAC ID | 2466600101 |
|---|---|
| Medicare Enrollment ID | O20120921000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093989162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301008748 (Michigan) | Primary |
| Provider Name | Pamela M Herringshaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932282985 PECOS PAC ID: 2365488202 Enrollment ID: I20050630001072 |
| Provider Name | Richard E James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750325262 PECOS PAC ID: 7517979974 Enrollment ID: I20060629000196 |
| Provider Name | Michael P Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528106606 PECOS PAC ID: 7416105150 Enrollment ID: I20120921000110 |
| Provider Name | Theresa Stack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427251909 PECOS PAC ID: 9638314743 Enrollment ID: I20130320000443 |
| Provider Name | William C Fowle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154531648 PECOS PAC ID: 4880908607 Enrollment ID: I20150806010634 |
| Provider Name | Linda D Theis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124447859 PECOS PAC ID: 3072844356 Enrollment ID: I20191017002366 |
| Provider Name | Cooper Brubacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669976189 PECOS PAC ID: 0648654046 Enrollment ID: I20220902002261 |
| Provider Name | Gerald Micketti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649660226 PECOS PAC ID: 3375988777 Enrollment ID: I20240226000630 |
Katharine Westie Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3537 W Front St, Suite F, Traverse City, MI 49684 Phone: 231-632-4282 | |
E. A. Austin Do Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Madison St, Traverse City, MI 49684 Phone: 231-946-0911 Fax: 231-935-0343 | |
Kelly K Greene Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W 11th St Ste 1w, Traverse City, MI 49684 Phone: 231-929-9040 Fax: 231-929-5586 | |
Pintar Psychological Services, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12719 S West Bay Shore Dr, Suite #9, Traverse City, MI 49684 Phone: 231-714-7054 Fax: 231-943-1032 | |
Senior Outreach Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4996 Ridgewood Rd, Traverse City, MI 49686 Phone: 800-671-1767 | |
Mindspot Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4833 Silver Pines Road, Traverse City, MI 49685 Phone: 231-538-2046 | |
Engel Mind Body Psychiatry Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4620 N Us Highway 31 N, Traverse City, MI 49686 Phone: 231-938-2010 Fax: 231-938-2012 |