| Psychsolutions, Llc | |
|
109 W 4th St Pittsburg KS 66762-4801 | |
| (620) 308-5115 | |
| Not Available |
| Full Name | Psychsolutions, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 W 4th St, Pittsburg, Kansas |
| Authorized Official Name and Position | Michele D Rickman (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 4174370036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychsolutions, Llc 5959 State Line Rd Joplin MO 64804-8835 Ph: (417) 437-0036 | Psychsolutions, Llc 109 W 4th St Pittsburg KS 66762-4801 Ph: (620) 308-5115 |
| NPI Number | 1003316803 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/20/2022 |
| Medicare PECOS PAC ID | 8628454493 |
|---|---|
| Medicare Enrollment ID | O20220930002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003316803 | NPI | - | NPPES |
| 2011088160B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 76214 (Kansas) | Primary |
| Provider Name | Michele Rickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083046957 PECOS PAC ID: 0244453512 Enrollment ID: I20140514001789 |
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