| Psych Md Pllc | |
|
3011 W Grand Blvd Ste 406 Detroit MI 48202-3011 | |
| (248) 789-8130 | |
| Not Available |
| Full Name | Psych Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3011 W Grand Blvd Ste 406, Detroit, Michigan |
| Authorized Official Name and Position | Natalie Sadik (OWNER) |
| Authorized Official Contact | 2487898130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Md Pllc 3011 W Grand Blvd Ste 406 Detroit MI 48202-3011 Ph: (248) 789-8130 | Psych Md Pllc 3011 W Grand Blvd Ste 406 Detroit MI 48202-3011 Ph: (248) 789-8130 |
| NPI Number | 1912580382 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 6901214154 |
|---|---|
| Medicare Enrollment ID | O20210428000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912580382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sahar Tibah Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811363492 PECOS PAC ID: 6103179528 Enrollment ID: I20181031002246 |
| Provider Name | Natalie Sadik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609262948 PECOS PAC ID: 5193027951 Enrollment ID: I20190713000042 |
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