Westlake Consultation Center
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Ann Arbor, MI
NPI 1962032227 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1962032227
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- WESTLAKE CONSULTATION CENTER
- Practice address
- 2301 S Huron Pkwy Ste 2B
Ann Arbor, MI 48104-5133 - Phone
- (734) 796-5552
- NPI assigned
- Jan 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Meriam Sam, NP
- Title
- Provider
- Phone
- (734) 796-5552
Subparts reporting this organization as parent 1
Practitioners 14
-
Charletta Dennis, M.D.
-
Rataucha A Heard, CAADC, LLPC, CFTC
-
Kevin Sheehan, LCSW
-
Jean Thayer, FNP-C
-
Haley Nicole Wanic, DNP, A-GNP
-
Rebecca Weiner, FNP-C
-
Robin Lynn Chaustowich, MA, LPC
-
Leanna Miller, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200701001955 | MI | Part B Supplier - Clinic/Group Practice | 4284057662 |
Receives reassigned benefits from 12 practitioners Practice locations: Ann Arbor, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
2301 S Huron Pkwy Ste 2B
Ann Arbor, MI 48104-5133
Mailing address
2301 S Huron Pkwy Ste 2B
Ann Arbor, MI 48104-5133
Phone (734) 796-5552
Other providers in Ann Arbor, MI
- Heidi Westerman
- Karen Lee Westermann
- Alizia D Westfall
- Maureen M Westfall
- Westlake Consultation Center
- Amber Weston
- Cody Lee Weston
- Jonathan Weston
- Piper Westrum
- Jillian Wetzel
All providers in Ann Arbor, MI · Psychiatric/Mental Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.