Judson Center Inc
A Medicare group practice based in Warren, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5698906907), with 15 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5698906907
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140331001580 | MI | Part B Supplier - Clinic/Group Practice | 1033264890 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Judson Center, Inc.
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1033264890
-
Judson Center, Inc.
- Family Medicine Physician
- Warren, MI
- NPI 1396217600
Practice locations
- Warren, MI2
- Dearborn, MI1
- Royal Oak, MI1
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (10).
-
Theresa Breyer, LLMSW
- Clinical Social Worker
- Warren, MI
- NPI 1558734624
-
Amy Christie, LCSW
- Social Worker
- Evanston, IL
- NPI 1487280145
-
Jillian Audrey Fielder, LIMITED LICENSE
- Clinical Social Worker
- Redford, MI
- NPI 1780272484
-
Elizabeth Haberkorn, FNP-BC
- Family Nurse Practitioner
- Roseville, MI
- NPI 1346749009
-
Renee Harris, MD
- Psychiatry Physician
- Bloomfield Hills, MI
- NPI 1043350895
-
Taneisha Mackey, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Warren, MI
- NPI 1750153763
-
Kelley Noelle Miller
- Professional Counselor
- Waterford, MI
- NPI 1699114207
-
India R Mooney, MA, LPC
- Mental Health Counselor
- Warren, MI
- NPI 1184272791
-
Mary Katherine Murray, LMSW
- Clinical Social Worker
- Warren, MI
- NPI 1417312976
-
Stacy Ann Nowak, PHMNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Warren, MI
- NPI 1861066433
-
Allyson Pascarella, LLMSW
- Social Worker
- Warren, MI
- NPI 1992454334
-
Stephanie Ann Riolo, M.D.
- Child & Adolescent Psychiatry Physician
- Dayton, OH
- NPI 1942237425
-
Christina M Romero, LMSW
- Clinical Social Worker
- Warren, MI
- NPI 1750972519
-
Brittany Tansil, LMSW, CADC
- Social Worker
- Warren, MI
- NPI 1134532369
-
Savannah L Walukonis
- Primary Care Nurse Practitioner
- Canton, MI
- NPI 1598341406
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.