PATCHAWAN PHUNWUTIKORN PSYD
NPI 1114455706
Psychologist in Grand Blanc, MI

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment
1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5126 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Aug 17, 2020, May 26, 2017 (3 updates tracked since 2017).

About Patchawan Phunwutikorn Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATCHAWAN PHUNWUTIKORN PSYD (NPI 1114455706) is an individual psychologist in Grand Blanc, Michigan and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Genesys Hospital, and maintains a secondary practice location in Alameda.

NPPES Registry Identity

NPI1114455706
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePATCHAWAN PHUNWUTIKORNCredential: PSYD
Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065
Mailing Address2004 Fox Hill Dr Apt 1Grand Blanc, MI 48439-5244
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 26, 2017
Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1114455706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1 GENESYS PKWY, Grand Blanc, MI 48439

Secondary Practice Location 1

Location 12325 Clement Ave Ste AAlameda, CA 94501-7061 · Phone (510) 629-6367

Other Identifiers 1

Medicaid8121CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Patchawan Phunwutikorn Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921402934
PECOS Enrollment IDI20210812000317, I20231116000105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
39 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services18 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
13 services13 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
1 GENESYS PKWY
GRAND BLANC, MI 48439
Emergency Medicine
1 GENESYS PKWY
GRAND BLANC, MI 48439
Radiology (Diagnostic Radiology)
1 GENESYS PKWY
GRAND BLANC, MI 48439
Family Medicine
1 GENESYS PKWY
GRAND BLANC, MI 48439
Anesthesiology
1 GENESYS PKWY
GRAND BLANC, MI 48439
Nurse Anesthetist, Certified Registered
1 GENESYS PKWY
GRAND BLANC, MI 48439
Emergency Medicine (Emergency Medical Services)
1 GENESYS PKWY
GRAND BLANC, MI 48439
Orthopaedic Surgery
1 GENESYS PKWY
GRAND BLANC, MI 48439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patchawan Phunwutikorn's NPI number?

The NPI number for Patchawan Phunwutikorn is 1114455706. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Patchawan Phunwutikorn located?

Patchawan Phunwutikorn practices at 1 Genesys Pkwy, Grand Blanc, MI 48439. The listed phone number is (810) 606-5126.

What is Patchawan Phunwutikorn's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Patchawan Phunwutikorn enrolled in Medicare?

Yes. Patchawan Phunwutikorn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Patchawan Phunwutikorn accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, McLaren Health Plan Community and Priority Health and 1 other insurer list Patchawan Phunwutikorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Patchawan Phunwutikorn affiliated with any hospitals?

According to CMS data, Patchawan Phunwutikorn is affiliated with Ascension Genesys Hospital.

When was this NPI record last updated?

The NPPES record for Patchawan Phunwutikorn was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.