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:
Map and Directions
Authorized official contact:
Name: Baddigam, Prameela Doctor of Medicine (MD)
Phone: (586) 263-6812

Health care specialties

SpecialtyCodeLicense #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 19 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 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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