Dominic C Moceri (NPI# 1346625225, PAC ID# 3779853718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1346625225 |
| PAC ID by PECOS | 3779853718 |
| Professional Enrollment ID | I20170724002603 |
| Full Name | Dominic C Moceri |
| Organization Legal Name | BIRMINGHAM MAPLE CLINIC |
| Address |
2075 W Big Beaver Rd Suite 520 Troy MI 48084-3442 |
| Phone Number | 2486466659 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 6800867755 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 | 2486466659 | BIRMINGHAM MAPLE CLINIC |
| Organization Legal Name | BIRMINGHAM MAPLE CLINIC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abra E Kitei | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Geoffrey Kantack | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Stephen Batchelor | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Calder W Kaufman | Psychologist, Clinical | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Caren Landau | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Jennifer A Gramzow | Psychologist, Clinical | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Lori K Edelson | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Abigail Kercorian | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Julian R Diaz | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Ariella T Kaufman Rubin | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Street Address |
2075 W BIG BEAVER RD SUITE 520 |
| City | TROY |
| State | MI |
| Zip | 48084-3442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abra E Kitei | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Geoffrey Kantack | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Stephen Batchelor | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Calder W Kaufman | Psychologist, Clinical | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Caren Landau | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Jeffrey A London | Psychiatry | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 | |
| Jennifer A Gramzow | Psychologist, Clinical | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Lori K Edelson | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Abigail Kercorian | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Julian R Diaz | Clinical Social Worker | Birmingham Maple Clinic | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3442 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Paul Cogswell | Family Practice | 900 Wilshire Dr, Suite 202, Troy, MI 48084-1600 | |
| Laura E Lucas | Obstetrics/gynecology | 310 Town Ctr Dr, Troy, MI 48084-1742 | |
| Kristy Sue Bouchard | Chiropractic | 308 Town Ctr Dr, Troy, MI 48084-1742 | |
| Kalen J Rimar | Urology | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744 |
| Michael Ian Ghilezan | Radiation Oncology | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744 |
| Christopher C Smith | Certified Registered Nurse Anesthetist (crna) | Michigan Interventional Pain Associates Pllc | 130 Town Ctr Dr, Suite 130, Troy, MI 48084-1744 |
| Sharon Denise Minott | Anesthesiology | Michigan Interventional Pain Associates Pllc | 130 Town Ctr Dr, Suite 130, Troy, MI 48084-1744 |
| Molly Rae Varon | Occupational Therapy | Behavioral Outcomes Management,llc | 210 Town Ctr Dr, Troy, MI 48084-1774 |
| Jodie Carley | Occupational Therapy | Behavioral Outcomes Management,llc | 210 Town Ctr Dr, Troy, MI 48084-1774 |
| Courtney Anne Ciotti | Nurse Practitioner | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1774 |
| Find all physicians in zip 48084 | |||
| City | TROY |
| Zip Code | 48084 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | TROY + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Dominic C Moceri.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.