Patricia C Doherty
Counselor, Professional in Chesterfield, MI. Individual provider (NPI-1).
NPI number1639701683
StatusActive
Last updated in NPPESFeb 7, 2020
Details
- NPI
- 1639701683
- Entity type
- Individual (NPI-1)
- Name
- Ms. Patricia C Doherty
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2020
- Certification date
- Feb 7, 2020
- Last updated
- Feb 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401018148 | MI | Yes |
Practice location
34474 23 Mile RdChesterfield, MI 48047-2003
Phone 586-996-2273
Mailing address
57626 River Oaks DrNew Haven, MI 48048-3302
Phone 810-434-4824
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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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