| Psychiatric Specialties, Plc | |
|
415 Main St Ste A Saint Joseph MI 49085-3100 | |
| (269) 408-1688 | |
| (269) 408-1692 |
| Full Name | Psychiatric Specialties, Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 415 Main St Ste A, Saint Joseph, Michigan |
| Authorized Official Name and Position | Yojana Veeramasuneni (ADMINISTRATOR) |
| Authorized Official Contact | 2694081688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Specialties, Plc 415 Main St Ste A Saint Joseph MI 49085-3100 Ph: (269) 408-1688 | Psychiatric Specialties, Plc 415 Main St Ste A Saint Joseph MI 49085-3100 Ph: (269) 408-1688 |
| NPI Number | 1841321072 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 5799729265 |
|---|---|
| Medicare Enrollment ID | O20050615000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841321072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301015548 (Michigan) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301044215 (Michigan) | Primary |
| Provider Name | Margaret L Bluhm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770663981 PECOS PAC ID: 3678729993 Enrollment ID: I20120801000916 |
| Provider Name | Michelle L Kachman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699936872 PECOS PAC ID: 8527211101 Enrollment ID: I20130109000731 |
| Provider Name | Yojana Veeramasuneni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952562175 PECOS PAC ID: 4385812536 Enrollment ID: I20140102001288 |
| Provider Name | Amy Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245637354 PECOS PAC ID: 6608199328 Enrollment ID: I20150102000835 |
| Provider Name | Amreeta K Gill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770990392 PECOS PAC ID: 2264774595 Enrollment ID: I20190507000118 |
| Provider Name | Shervin Tehrani-rad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619225489 PECOS PAC ID: 6406199801 Enrollment ID: I20190529001245 |
| Provider Name | Jessica Soos Pawlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881667 PECOS PAC ID: 8921498478 Enrollment ID: I20211124001033 |
| Provider Name | Swati Bajpai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982080743 PECOS PAC ID: 2163899006 Enrollment ID: I20230306002781 |
| Provider Name | Acquisha Chrystal Cagilus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184195166 PECOS PAC ID: 4688024193 Enrollment ID: I20231226001001 |
| Provider Name | Patrick Thomas Byrnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376052290 PECOS PAC ID: 7719338201 Enrollment ID: I20240109003162 |
| Provider Name | Philip Waitzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003657941 PECOS PAC ID: 6103361324 Enrollment ID: I20240712000104 |
| Provider Name | Brian S Mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003029588 PECOS PAC ID: 8325575954 Enrollment ID: I20241220001785 |
| Provider Name | Carissa Cullum Ferdinand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255082848 PECOS PAC ID: 8123548716 Enrollment ID: I20250226001964 |
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Freedom Counseling Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085 Phone: 269-982-7200 Fax: 269-982-0202 | |
Family Empowerment Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2630 Harmony Path, Saint Joseph, MI 49085 Phone: 269-759-8750 | |
Beacon Counseling Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3665 S Lakeshore Dr, 3665 South Lakeshore Drive, Saint Joseph, MI 49085 Phone: 269-429-9000 | |
Lakeland Medical Practices Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3950 Hollywood Rd Ste 230, Saint Joseph, MI 49085 Phone: 269-985-0000 Fax: 269-985-0360 | |
Robin Zollar Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Ship St Ste 107, Saint Joseph, MI 49085 Phone: 269-983-4242 |