Functional Kids - Medicare Mental Health Clinic in Springfield, MI

Functional Kids is a medicare enrolled mental health clinic (Occupational Therapist - Pediatrics) in Springfield, Michigan. The current practice location for Functional Kids is 777 Goguac St W Ste B2, Springfield, Michigan. For appointments, you can reach them via phone at (269) 832-8224. The mailing address for Functional Kids is 777 Goguac St W Ste B2, Springfield, Michigan and phone number is (269) 832-8224.

Functional Kids is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1578951380. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (269) 832-8224.

Contact Information

Functional Kids
777 Goguac St W Ste B2
Springfield
MI 49015-2097
(269) 832-8224
Not Available

Mental Health Clinic Profile

Full NameFunctional Kids
SpecialityOccupational Therapist
Location777 Goguac St W Ste B2, Springfield, Michigan
Authorized Official Name and PositionMaria M Dobbertien (OCCUPATIONAL THERAPIST)
Authorized Official Contact2698328224
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Functional Kids
777 Goguac St W Ste B2
Springfield
MI 49015-2097

Ph: (269) 832-8224
Functional Kids
777 Goguac St W Ste B2
Springfield
MI 49015-2097

Ph: (269) 832-8224

NPI Details:

NPI Number1578951380
Provider Enumeration Date12/31/2014
Last Update Date03/08/2024
Certification Date03/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6800116633
Medicare Enrollment IDO20150519002144

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Medical Identifiers

Medical identifiers for Functional Kids such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578951380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
111N00000XChiropractor (* (Not Available))Secondary
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Secondary
225XP0200XOccupational Therapist - Pediatrics (* (Not Available))Primary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Functional Kids acts as a billing entity for following providers:
Provider NameMaria M Dobbertien
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093103020
PECOS PAC ID: 0446575989
Enrollment ID: I20150204001946

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Provider NameJennifer L Roelof
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053835124
PECOS PAC ID: 6800168691
Enrollment ID: I20170814001451

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Provider NameGail A Conlan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083978704
PECOS PAC ID: 8527334366
Enrollment ID: I20171024001140

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Provider NameEllen R Rosevear
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649772229
PECOS PAC ID: 8628322658
Enrollment ID: I20181110000363

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Provider NameLori M Davis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497993133
PECOS PAC ID: 5890036156
Enrollment ID: I20190415001134

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Provider NameDanielle M Hackert
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730745753
PECOS PAC ID: 1254664584
Enrollment ID: I20190531000772

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Provider NameEmme Duranczyk
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053865543
PECOS PAC ID: 5294167763
Enrollment ID: I20191121002000

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Provider NameAlyssa C Rohr
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386285187
PECOS PAC ID: 7618395229
Enrollment ID: I20200915000229

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Provider NameKiley S Eversole
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265960090
PECOS PAC ID: 9436577046
Enrollment ID: I20200915000232

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Provider NameLeah C. Krosschell
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669047403
PECOS PAC ID: 6406234251
Enrollment ID: I20220607000916

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Provider NameSheryl Dudley
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427703990
PECOS PAC ID: 4082096557
Enrollment ID: I20220729002365

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Provider NameSophie Grelson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1841945300
PECOS PAC ID: 4385026822
Enrollment ID: I20220801001672

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Provider NameKatia Littrell
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1144950577
PECOS PAC ID: 8729460274
Enrollment ID: I20220801002265

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Provider NameKelly Gottschall
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003465071
PECOS PAC ID: 3072996446
Enrollment ID: I20220817002431

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Provider NameAnna T Leibovich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114302478
PECOS PAC ID: 2163808411
Enrollment ID: I20221010003266

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Provider NameTaylor L Olko
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1013622364
PECOS PAC ID: 1557726429
Enrollment ID: I20230427001879

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Read more Medical News

› Verified 2 days ago

News Archive

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› Verified 2 days ago

Occupational Therapist in Springfield, MI


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