| Thumb Area Psychological Services, Llc | |
|
6627 Rose St Suite 1 Cass City MI 48726-1220 | |
| (989) 872-1800 | |
| Not Available |
| Full Name | Thumb Area Psychological Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6627 Rose St, Cass City, Michigan |
| Authorized Official Name and Position | Kathleen Ann Mroz (LICENSED MASTER SOCIAL WORKER OWNER) |
| Authorized Official Contact | 9898721800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thumb Area Psychological Services, Llc 6627 Rose St Cass City MI 48726-1220 Ph: (989) 872-1800 | Thumb Area Psychological Services, Llc 6627 Rose St Suite 1 Cass City MI 48726-1220 Ph: (989) 872-1800 |
| NPI Number | 1386072841 |
|---|---|
| Provider Enumeration Date | 10/21/2013 |
| Last Update Date | 11/20/2013 |
| Medicare PECOS PAC ID | 5294964300 |
|---|---|
| Medicare Enrollment ID | O20140213001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386072841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 113138664 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801087946 (Michigan) | Primary |
| Provider Name | Jennifer Lynn Vantol |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073976288 PECOS PAC ID: 9830132034 Enrollment ID: I20050608000869 |
| Provider Name | Crystal Waugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457635161 PECOS PAC ID: 5799959573 Enrollment ID: I20111111000511 |
| Provider Name | Kathleen A Mroz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851738082 PECOS PAC ID: 4183868144 Enrollment ID: I20130913000508 |
| Provider Name | Buffie Loss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679721781 PECOS PAC ID: 8325274285 Enrollment ID: I20131122001949 |
| Provider Name | Heather Langenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881010775 PECOS PAC ID: 7315179686 Enrollment ID: I20140421000985 |
| Provider Name | Denise Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518006295 PECOS PAC ID: 9234354127 Enrollment ID: I20140709001768 |
| Provider Name | Katherine Joy Bristol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881032878 PECOS PAC ID: 4385967033 Enrollment ID: I20150105000055 |
| Provider Name | Judy Stapleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992165096 PECOS PAC ID: 1850698879 Enrollment ID: I20160318000377 |
| Provider Name | Nikole M Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083153332 PECOS PAC ID: 2365726692 Enrollment ID: I20170303001571 |
| Provider Name | Paul Szpunar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164852208 PECOS PAC ID: 8426326364 Enrollment ID: I20170616001010 |
| Provider Name | Adwoa Akowuah Boachie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649820465 PECOS PAC ID: 3870823370 Enrollment ID: I20190926000889 |
| Provider Name | Carley Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841733201 PECOS PAC ID: 6204255482 Enrollment ID: I20201008000350 |
| Provider Name | Maryann Dexter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639695646 PECOS PAC ID: 8426463274 Enrollment ID: I20210209001859 |
| Provider Name | Julie Marie Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992325484 PECOS PAC ID: 4385052505 Enrollment ID: I20210427003091 |
| Provider Name | Crysta D Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447797212 PECOS PAC ID: 8820489131 Enrollment ID: I20211221002000 |
| Provider Name | Briana Harless |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235597196 PECOS PAC ID: 8921444779 Enrollment ID: I20240314002866 |
Padoc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6556 Old Elmwood Rd, Cass City, MI 48726 Phone: 989-551-5653 | |
Emmaus Christian Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6545 Church St, Cass City, MI 48726 Phone: 989-872-3333 Fax: 989-872-3334 |