Provider Demographics
NPI:1851361554
Name:FAMILY PSYCHIATRIC CONSULTANTS, PC
Entity Type:Organization
Organization Name:FAMILY PSYCHIATRIC CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-381-0111
Mailing Address - Street 1:3887 OKEMOS RD
Mailing Address - Street 2:SUITE A4
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3664
Mailing Address - Country:US
Mailing Address - Phone:517-381-0111
Mailing Address - Fax:517-381-0444
Practice Address - Street 1:3887 OKEMOS RD
Practice Address - Street 2:SUITE A4
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3664
Practice Address - Country:US
Practice Address - Phone:517-381-0111
Practice Address - Fax:517-381-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI68OC311520OtherBCBS PSYCHOLOGISTS
MI5654343OtherAETNA
MI80OC311530OtherBCBS THERAPISTS
MI26OC310410OtherBCBS PSYCHIATRISTS
MI80OC311530OtherBCBS THERAPISTS
MI68OC311520OtherBCBS PSYCHOLOGISTS