MEDICARE: EFFECTIVE PSYCH CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1942747670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFFECTIVE PSYCH CARE PLLC

Provider Business Mailing Address
First Line	:	5039 VILLA LINDE PKWY STE 30
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3450
Country	:	US
Telephone Number	:	810-213-8013
Fax Number	:	810-213-8014

Provider Business Practice Location Address
First Line	:	5039 VILLA LINDE PKWY STE 30
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3450
Country	:	US
Telephone Number	:	810-213-8013
Fax Number	:	810-213-8014

Authorized Official
Title or Position	:	OWNER
Name	:	SUNIL D PARASHAR
Credential	:	MD
Telephone Number	:	989-583-6800

Provider Enumeration Date	:	01/19/2017
Last Update Date	:	11/02/2021

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