Psychology Group
LBN: Baddigam Family Psychiatric Assoc
Psychology Group is an health care organization with primary practice located at 15500 19 Mile Rd Ste 310, Clinton Twp MI 48038-6330. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Baddigam Family Psychiatric Assoc can be contacted via phone (586) 263-6812, or through Baddigam, Prameela via phone (586) 263-6812.
Contact Information
Primary practice address
15500 19 Mile Rd Ste 310
Clinton Twp MI 48038-6330
Phone: (586) 263-6812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | Michigan | |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Michigan | |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | Michigan |
Profile Details
| NPI number | 1033393442 |
|---|---|
| LBN Legal business name | Baddigam Family Psychiatric Assoc |
| DBA Doing business as | Psychology Group |
| Authorized official | Baddigam, Prameela Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Dec 20th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033393442 | NPPES |
| Michigan | Other | MC012228 | LIC |
| Michigan | MEDICAID | 4769047 | LIC |
| Michigan | MEDICAID | 4769056 | LIC |
| Michigan | Other | JT007751 | LIC |
| Michigan | Other | 0E02096 | LIC |
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