Organization
MENTAL HEALTH CLINIC
Active
Organization
MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDER P MEDIRATTA M D (OWNER)
(269) 342-0606
Entity
Organization
Contact information
Practice address
1514 W MILHAM AVE, PORTAGE, MI 49024-1296
(269) 342-0606
(269) 342-0919
Mailing address
1514 W MILHAM AVE, PORTAGE, MI 49024-1296
(269) 342-0606
(269) 342-0919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401009051
MI
2084P0800X
Psychiatry Physician
Primary
RM4301052512
MI
Other
Enumeration date
07/05/2007
Last updated
10/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up