Pamela Vaccarelli
Psychologist in Rochester, MI. Individual provider (NPI-1).
NPI number1073672200
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073672200
- Entity type
- Individual (NPI-1)
- Name
- Pamela Vaccarelli
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6301009087 | MI | Yes |
Practice location
4986 N Adams RdRochester, MI 48306-1416
Phone 248-475-4880
Mailing address
325 Timber Trl Apt 308Auburn Hills, MI 48326-1197
Phone 313-920-1165
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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