| 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 | Percy H Key |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821098849 PECOS PAC ID: 2466499256 Enrollment ID: I20050413000559 |
| 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 G 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 | Jennifer D Eilola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114410768 PECOS PAC ID: 4385995349 Enrollment ID: I20181002000063 |
| Provider Name | Dustin Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083262844 PECOS PAC ID: 2365858982 Enrollment ID: I20210305001942 |
| Provider Name | Andrew Seth 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 | 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 | Joanna Woodward Mcabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790058923 PECOS PAC ID: 7113178831 Enrollment ID: I20221118000932 |
| Provider Name | Shawn O Utsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134899958 PECOS PAC ID: 9537558655 Enrollment ID: I20221129000852 |
| Provider Name | Lydia Emuobosa Opara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558955054 PECOS PAC ID: 9436554649 Enrollment ID: I20221129001129 |
| Provider Name | Joshua Gonsher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912493297 PECOS PAC ID: 3072948744 Enrollment ID: I20230216002316 |
| Provider Name | Reginald Keith Riggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649818550 PECOS PAC ID: 7719391622 Enrollment ID: I20230217001014 |
| 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 | Mark D Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538273743 PECOS PAC ID: 3779944558 Enrollment ID: I20230726000924 |
| Provider Name | Anna Jane Oosterbaan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295510675 PECOS PAC ID: 3870956154 Enrollment ID: I20230905001169 |
| Provider Name | Jaclyn Elizabeth Helzerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003686460 PECOS PAC ID: 3173975604 Enrollment ID: I20240119001490 |
Samaritan Counseling Centers Of The U.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Genesee St, Suite 9, Iron River, MI 49935 Phone: 906-265-2000 | |
Northpointe Behavioral Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 N 2nd Ave, Iron River, MI 49935 Phone: 906-774-0522 | |
Supportive Care Of Michigan Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 Lincoln Ave, Iron River, MI 49935 Phone: 718-298-2753 |