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NORTHERN MICHIGAN PSYCHIATRIC SERVICES PC NPI 1962414805


NPI Information

NPI: 1962414805
Provider Name: NORTHERN MICHIGAN PSYCHIATRIC SERVICES PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
3287 RACQUET CLUB DR UNIT A
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-0355
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NORTHERN MICHIGAN PSYCHIATRIC SERVICES PC is a child and adolescent psychiatry psychiatry neurology in Traverse City, MI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NORTHERN MICHIGAN PSYCHIATRIC SERVICES PC NPI is 1962414805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3287 RACQUET CLUB DR UNIT A
TRAVERSE CITY, MI
ZIP 49684-702
Phone: (231) 935-0355
Fax: (231) 935-0360

The provider's authorized official is Sander Weckstein .
The authorized official title is President and has the following contact phone number (231) 935-0355.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/22/2020.


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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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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