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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1417346966 | NPPES |
| Michigan | Other | 0B81230 | BCBS-M |
| Michigan | Other | 0Z5488 | BCBS-M |
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