| Psych One Pllc | |
|
2390 Woodlake Dr Ste 380 Okemos MI 48864-6018 | |
| (517) 999-1104 | |
| Not Available |
| Full Name | Psych One Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2390 Woodlake Dr Ste 380, Okemos, Michigan |
| Authorized Official Name and Position | Zulfiqar Ahmed (OWNER) |
| Authorized Official Contact | 5173166241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych One Pllc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Psych One Pllc 2390 Woodlake Dr Ste 380 Okemos MI 48864-6018 Ph: (517) 999-1104 |
| NPI Number | 1144527524 |
|---|---|
| Provider Enumeration Date | 02/20/2011 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 4183897341 |
|---|---|
| Medicare Enrollment ID | O20111103000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144527524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301085763 (Michigan) | Primary |
| Provider Name | Zulfiqar Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700838554 PECOS PAC ID: 8820080393 Enrollment ID: I20051114000451 |
| Provider Name | Niccole L Somerville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235590779 PECOS PAC ID: 8820395833 Enrollment ID: I20160317002205 |
| Provider Name | Janice E Huhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093230187 PECOS PAC ID: 0941574883 Enrollment ID: I20170915002701 |
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