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Contact Information

BADDIGAM FAMILY PSYCHIATRIC ASSOCIATES PLLC
43211 DALCOMA DR
STE. 3
CILNTON TOWNSHIP, MI48038-6309
 Phone: 586-263-6812
 Fax: 586-263-6835
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BADDIGAM FAMILY PSYCHIATRIC ASSOCIATES PLLC

NPI Number 1093899569
LBN Legal business name BADDIGAM FAMILY PSYCHIATRIC ASSOCIATES PLLC
Authorized official PRAMEELA BADDIGAM - (PSYCHIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 03/18/2022 - About 4 years ago
Identifiers
MI Medicaid 1033313069
MI Medicaid 476904710
MI Medicaid 476905610
Other 1082559 AETNA
Other 138868 CARE CHOICES
Other 140176 CARE CHOICES
Other 2204444 CIGNA
Other F63502 HAP
Other PB055388 LIC
Other 819269000 MAGELLAN
Other 0459615 VALUE OPTIONS
Other 5840532 VALUE OPTIONS
MI Other 2605017381 BCBS
MI Other 260E021040 BCBSM GRP
MI Other 680E020960 BCBSM PHD GRP
MI Other 2605017531 BCS
MI Other BB053679 LIC
MI Other VM053562 LIC
MI Other 1265467682 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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