The Behavioral Medicine Clinic Of Northwest Michigan, Plc
Developmental - Behavioral Pediatrics
The Behavioral Medicine Clinic Of Northwest Michigan, Plc is a Traverse City, Michigan based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics.
It is located at
745 S Garfield Ave, Suite C, Traverse City, Michigan - 49686-3479. They can be contacted on phone at
231-932-1250 and fax number 231-932-1266.
NPI number (Unique professional ID) for The Behavioral Medicine Clinic Of Northwest Michigan, Plc is
1336353473 which was assigned by NPPES on 09 May, 2007 and it was last updated on 30 Jun, 2008.
The Behavioral Medicine Clinic Of Northwest Michigan, Plc license number is
4301062201 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Michigan.
The Behavioral Medicine Clinic Of Northwest Michigan, Plc is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
The Behavioral Medicine Clinic Of Northwest Michigan, Plc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | The Behavioral Medicine Clinic Of Northwest Michigan, Plc |
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Business Address:
The Behavioral Medicine Clinic Of Northwest Michigan, Plc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 745 S Garfield Ave, Suite C
Traverse City, MI, 49686-3479
United States |
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| Phone Number : | 231-932-1250 |
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| Fax Number : | 231-932-1266 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336353473 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 May, 2007 |
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| Last Updated On : | 30 Jun, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Terrymarc Dickson |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 231-932-1250 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Behavioral Medicine Clinic Of Northwest Michigan, Plc are as mentioned. Primary taxonomy code for The Behavioral Medicine Clinic Of Northwest Michigan, Plc is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 4301062201 | MI |
Legacy Identifiers:
Other legacy medical identifiers of The Behavioral Medicine Clinic Of Northwest Michigan, Plc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0280237 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 104467082 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 745 S Garfield Ave, Suite C
Traverse City, MI, 49686-3479
United States |
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| Phone Number : | 231-932-1250 |
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| Fax Number : | 231-932-1266 |
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Business Location:
Patients can refer following map for directions to
The Behavioral Medicine Clinic Of Northwest Michigan, Plc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.