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GUANCO CLINIC PC NPI 1548442072


NPI Information

NPI: 1548442072
Provider Name: GUANCO CLINIC PC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
47100 SCHOENHERR RD
SUITE B
SHELBY TOWNSHIP, MI
ZIP 48315
Phone: (586) 566-6880
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GUANCO CLINIC PC is a psychiatry psychiatry neurology in Shelby Township, MI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. GUANCO CLINIC PC NPI is 1548442072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47100 SCHOENHERR RD
SUITE B
SHELBY TOWNSHIP, MI
ZIP 48315-716
Phone: (586) 566-6880
Fax: (586) 566-6882

The provider's authorized official is Kirk Guanco .
The authorized official title is Office Manager and has the following contact phone number (586) 566-6880.

The enumeration date for this NPI number is 11/27/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry4301031105MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12107150MEDICAIDMICHIGAN
20502035MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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