National Provider Identifier Database

CLINICAL PSYCHIATRIC MEDICINE PC
Psychiatry

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.


Contact Information

CLINICAL PSYCHIATRIC MEDICINE PC
0-151 44TH STREET SW
GRANDVILLE, MI49418
Phone: 616-457-1889
Fax: 616-457-1891
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for CLINICAL PSYCHIATRIC MEDICINE PC

NPI Number 1386677185
Legal business name
LBN
CLINICAL PSYCHIATRIC MEDICINE PC
Authorized official NAN AH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301045669
  • MI Medicaid: 3085001
  • MI Other: NA045669 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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