MARECK FAMILY AND GERIATRIC SERVICES P.C. NPI 1073615092

NPI Information

NPI: 1073615092
Provider Name: MARECK FAMILY AND GERIATRIC SERVICES, P.C.

Doing Business As: MARECK AND ASSOCIATES

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3493 WOODS EDGE DR
SUITE 103
OKEMOS, MI
ZIP 48864
Phone: (517) 886-3707
Get Directions

MARECK FAMILY AND GERIATRIC SERVICES, P.C. is an adult mental health clinic center in Okemos, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARECK FAMILY AND GERIATRIC SERVICES, P.C. NPI is 1073615092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mareck And Associates.

The provider's business location address is:

3493 WOODS EDGE DR
SUITE 103
OKEMOS, MI
ZIP 48864-030
Phone: (517) 886-3707
Fax: (517) 349-1973

The provider's authorized official is Gary William Pollitz .
The authorized official title is Ceo/president and has the following contact phone number (517) 886-3707.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 2/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OP40800	MEDICARE PIN
2	0P40800	MEDICARE PIN	MICHIGAN
3	800C313060	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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