Unknown Individual – Psychiatry Physician, NPI 1184703175
Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1485, Paw Paw Avenue, Benton Harbor, Benton Charter Township, Berrien County, Michigan, 49022, United States
BENTON HARBOR, MI 49022
Phone: (269) 925-0585
Fax: (269) 925-0070
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Occupational Therapist In Private Practice | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | IN | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI |
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