| Psychological Institutes Of Michigan, P.c. | |
|
7457 Franklin Road Suite 210 Bloomfield Twp MI 48301 | |
| (248) 626-4622 | |
| (248) 626-2908 |
| Full Name | Psychological Institutes Of Michigan, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 7457 Franklin Road, Bloomfield Twp, Michigan |
| Authorized Official Name and Position | Robert E Erard (PRESIDENT) |
| Authorized Official Contact | 2486264622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Institutes Of Michigan, P.c. 7457 Franklin Road Suite 210 Bloomfield Twp MI 48301 Ph: (248) 626-4622 | Psychological Institutes Of Michigan, P.c. 7457 Franklin Road Suite 210 Bloomfield Twp MI 48301 Ph: (248) 626-4622 |
| NPI Number | 1609111350 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 10/01/2014 |
| Medicare PECOS PAC ID | 8628050366 |
|---|---|
| Medicare Enrollment ID | O20040604000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609111350 | NPI | - | NPPES |
| 1447300694 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301011628 (Michigan) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704102153 (Michigan) | Secondary |
| Provider Name | Frederick J Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467502161 PECOS PAC ID: 4880676527 Enrollment ID: I20040730001067 |
| Provider Name | Linda Sircus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295883346 PECOS PAC ID: 8224084413 Enrollment ID: I20050330001148 |
Psychological Institutes Of Michigan, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7457 Franklin Road, Suite 210, Bloomfield Twp, MI 48301 Phone: 248-626-4622 Fax: 248-626-2908 |