| Rockford Psychological Services | |
|
16 North Monroe Rockford MI 49341 | |
| (616) 866-4830 | |
| (616) 866-4944 |
| Full Name | Rockford Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 16 North Monroe, Rockford, Michigan |
| Authorized Official Name and Position | Peter Jon Birkeland (PRESIDENT) |
| Authorized Official Contact | 6168664830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Psychological Services 16 North Monroe Rockford MI 49341 Ph: (616) 866-4830 | Rockford Psychological Services 16 North Monroe Rockford MI 49341 Ph: (616) 866-4830 |
| NPI Number | 1760787998 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 02/25/2011 |
| Medicare PECOS PAC ID | 8224219092 |
|---|---|
| Medicare Enrollment ID | O20110228000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760787998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301006087 (Michigan) | Primary |
| Provider Name | Peter J Birkeland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245331149 PECOS PAC ID: 9133300916 Enrollment ID: I20110228000235 |
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