Great Minds Of Michigan Pllc

LBN: Great Minds Of Michigan Pllc
Great Minds Of Michigan Pllc is an health care organization with primary practice located at 200 Diversion St Suite 150, Rochester Hills MI 48307-2267. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Great Minds Of Michigan Pllc can be contacted via phone (586) 913-1038, or through Reed, Janet S via phone (586) 913-1038.

Contact Information

Primary practice address
200 Diversion St Suite 150 Rochester Hills MI 48307-2267
Phone: (586) 913-1038
Fax: (586) 773-3355
Website:
Map and Directions
Authorized official contact:
Name: Reed, Janet S PHD
Phone: (586) 913-1038

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301012828 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301012828 Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301012828 Michigan
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 6301012828 Michigan

Profile Details

NPI number 1609173921
LBN Legal business name Great Minds Of Michigan Pllc
DBA Doing business as
Authorized official Reed, Janet S PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2011
Last updated Feb 23rd, 2011 - about 15 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 1609173921 NPPES
Michigan MEDICAID PHD888810
Michigan Other JR012828
Michigan Other JR012828

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