Organization
BIOLOGICAL PSYCHIATRY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARESH MEHTA M.D. (MEDICAL DIRECTOR)
(586) 773-6020
Entity
Organization
Contact information
Practice address
25869 KELLY RD, SUITE A, ROSEVILLE, MI 48066-4997
(586) 773-6020
(586) 773-6093
Mailing address
25869 KELLY RD, SUITE A, ROSEVILLE, MI 48066-4997
(586) 773-6020
(586) 773-6093
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
018073
MI
1041C0700X
Clinical Social Worker
Primary
018073
MI
106H00000X
Marriage & Family Therapist
018073
MI
2084P0800X
Psychiatry Physician
018073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E03587
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
0E03588
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
02/25/2013
Last updated
01/09/2015
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