East Bay Psychology, Pc

LBN: East Bay Psychology, Pc
East Bay Psychology, Pc is an health care organization with primary practice located at 3926 Village Circle Dr. , Traverse City MI 49686. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. East Bay Psychology, Pc can be contacted via phone (231) 938-5900, or through Bradley, Terence Lee via phone (231) 938-5900.

Contact Information

Primary practice address
3926 Village Circle Dr. Traverse City MI 49686
Phone: (231) 938-5900
Fax: (231) 938-5900
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Terence Lee PHD
Phone: (231) 938-5900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301002718 Michigan

Profile Details

NPI number 1417346966
LBN Legal business name East Bay Psychology, Pc
DBA Doing business as
Authorized official Bradley, Terence Lee PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2015
Last updated Jan 23rd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417346966 NPPES
Michigan Other 0B81230 BCBS-M
Michigan Other 0Z5488 BCBS-M

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