| 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 | Suzanne B Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669479234 PECOS PAC ID: 7517852239 Enrollment ID: I20040220000033 |
| Provider Name | Raghu R Veeramasuneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427055466 PECOS PAC ID: 1254319981 Enrollment ID: I20040709000819 |
| 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 | 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 | Riley Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497368468 PECOS PAC ID: 1850786708 Enrollment ID: I20220311001796 |
| Provider Name | Swati Bajpai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982080743 PECOS PAC ID: 2163899006 Enrollment ID: I20230306002781 |
| Provider Name | Marriana Marcarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174069314 PECOS PAC ID: 9436522505 Enrollment ID: I20230310002167 |
| 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 |
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