| Supportive Care I Of Michigan Pc | |
|
330 Lincoln Ave Iron River MI 49935-8452 | |
| (718) 506-1115 | |
| Not Available |
| Full Name | Supportive Care I Of Michigan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 330 Lincoln Ave, Iron River, Michigan |
| Authorized Official Name and Position | Andrew Seth Rosenzweig (OWNER/PRESIDENT) |
| Authorized Official Contact | 7182982753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care I Of Michigan Pc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Supportive Care I Of Michigan Pc 330 Lincoln Ave Iron River MI 49935-8452 Ph: (718) 506-1115 |
| NPI Number | 1548995608 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638554298 |
|---|---|
| Medicare Enrollment ID | O20220916003011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548995608 | NPI | - | NPPES |
| Provider Name | April L Neuwirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821109646 PECOS PAC ID: 6507824752 Enrollment ID: I20041221000084 |
| Provider Name | Richard E James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750325262 PECOS PAC ID: 7517979974 Enrollment ID: I20060629000196 |
| Provider Name | Carol Gail Ellstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679500078 PECOS PAC ID: 9638232283 Enrollment ID: I20090108000561 |
| Provider Name | Tiffany Z Tuttle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649574526 PECOS PAC ID: 3678756830 Enrollment ID: I20110324000910 |
| Provider Name | Clarissa N Gayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932336948 PECOS PAC ID: 0446518682 Enrollment ID: I20171218001939 |
| Provider Name | Andrea Lynn Pekarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700387784 PECOS PAC ID: 2466701842 Enrollment ID: I20180817001163 |
| Provider Name | Jennifer D Eilola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114410768 PECOS PAC ID: 4385995349 Enrollment ID: I20181002000063 |
| Provider Name | Gregory S Balloid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902374267 PECOS PAC ID: 5092046235 Enrollment ID: I20191018002040 |
| Provider Name | Dustin Jose Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083262844 PECOS PAC ID: 2365858982 Enrollment ID: I20210305001942 |
| Provider Name | Andrew Rosenzweig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942203690 PECOS PAC ID: 9234043134 Enrollment ID: I20210517001144 |
| Provider Name | Theodora Chukwudi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063005403 PECOS PAC ID: 5890961742 Enrollment ID: I20210623002718 |
| Provider Name | David James Majors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922401207 PECOS PAC ID: 3779970884 Enrollment ID: I20220420000319 |
| Provider Name | Jemila A Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417626771 PECOS PAC ID: 1254719958 Enrollment ID: I20220609000215 |
| Provider Name | Rolandia T Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366848350 PECOS PAC ID: 6709266398 Enrollment ID: I20220628003400 |
| Provider Name | Courtney Tessmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720537731 PECOS PAC ID: 1658669064 Enrollment ID: I20221018001827 |
| Provider Name | Daniel Alfonso Grasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649900234 PECOS PAC ID: 3476929183 Enrollment ID: I20221021000252 |
| Provider Name | Darcy L Paisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134851074 PECOS PAC ID: 3779614813 Enrollment ID: I20221107001912 |
| Provider Name | Evan Andrew Koehn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275905911 PECOS PAC ID: 0042685208 Enrollment ID: I20230331001982 |
| Provider Name | Naomi Tyrese Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578172540 PECOS PAC ID: 6709242662 Enrollment ID: I20230518001551 |
| Provider Name | Janelle Erica Veenstra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861842288 PECOS PAC ID: 0244668358 Enrollment ID: I20230616001280 |
| Provider Name | Mark D Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538273743 PECOS PAC ID: 3779944558 Enrollment ID: I20230726000924 |
| Provider Name | Jaclyn Elizabeth Helzerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003686460 PECOS PAC ID: 3173975604 Enrollment ID: I20240119001490 |
| Provider Name | Kimberly Wisniewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851462543 PECOS PAC ID: 1759734510 Enrollment ID: I20240129000282 |
| Provider Name | Barbara Anne Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598334351 PECOS PAC ID: 6406399740 Enrollment ID: I20240614003046 |
| Provider Name | Rodney Stephen Skinner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356650295 PECOS PAC ID: 9739624438 Enrollment ID: I20240717001431 |
| Provider Name | Susan J Sarafian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174695548 PECOS PAC ID: 9436696739 Enrollment ID: I20240805002050 |
| Provider Name | Brandi Denise Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689034324 PECOS PAC ID: 8628516127 Enrollment ID: I20240815000834 |
| Provider Name | Felicia Ann Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639459092 PECOS PAC ID: 5395270300 Enrollment ID: I20241128000048 |
| Provider Name | Cynthia E Carefoot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710476601 PECOS PAC ID: 6709313133 Enrollment ID: I20241226001210 |
| Provider Name | Maha Baalbaki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144964305 PECOS PAC ID: 7911436852 Enrollment ID: I20250122003008 |
| Provider Name | Tammy Lynn Cairns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487179685 PECOS PAC ID: 0840725362 Enrollment ID: I20250310001866 |
| Provider Name | Cody Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962200360 PECOS PAC ID: 9032633987 Enrollment ID: I20250411002923 |
| Provider Name | Ashley Marie Hawthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427875780 PECOS PAC ID: 9032638721 Enrollment ID: I20250527001294 |
Iron County Samaritan Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Genesee St, Suite 9, Iron River, MI 49935 Phone: 906-265-2000 | |
Supportive Care Of Michigan Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Lincoln Ave, Iron River, MI 49935 Phone: 718-298-2753 |