| Smart Minds LLC | |
|
2774 Birchcrest Dr Se Grand Rapids MI 49506-5477 | |
| (616) 988-3422 | |
| Not Available |
| Full Name | Smart Minds LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2774 Birchcrest Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Sana Sarwar (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4195084133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Minds LLC 2774 Birchcrest Dr Se Grand Rapids MI 49506-5477 | Smart Minds LLC 2774 Birchcrest Dr Se Grand Rapids MI 49506-5477 Ph: (616) 988-3422 |
| NPI Number | 1114891249 |
|---|---|
| Provider Enumeration Date | 10/01/2025 |
| Last Update Date | 10/01/2025 |
| Certification Date | 10/01/2025 |
| Medicare PECOS PAC ID | 8628567880 |
|---|---|
| Medicare Enrollment ID | O20251028003143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114891249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Matthew D Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811001126 PECOS PAC ID: 8921004615 Enrollment ID: I20061020000391 |
| Provider Name | Karli R Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154861565 PECOS PAC ID: 1658601653 Enrollment ID: I20190917003990 |
| Provider Name | Sajjad R Sarwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982839957 PECOS PAC ID: 5294975249 Enrollment ID: I20200427002261 |
| Provider Name | Godfrey Abuya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184352478 PECOS PAC ID: 1951755164 Enrollment ID: I20230921002556 |
| Provider Name | Anne T Beauchamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003672528 PECOS PAC ID: 8820430655 Enrollment ID: I20240524002478 |
| Provider Name | Thi Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184434805 PECOS PAC ID: 5395241038 Enrollment ID: I20251001004639 |
| Provider Name | Sabira Pervanic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033531447 PECOS PAC ID: 1759870322 Enrollment ID: I20251103001197 |
| Provider Name | Jennalyn Marie Jubeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538033154 PECOS PAC ID: 4981186962 Enrollment ID: I20260307000458 |
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