BRENT BEAM PH.D.
NPI 1174710644
Psychologist - Counseling in Ann Arbor, MI
- Individual
- Male
- Psychologist
- Counseling
- Opted-Out Medicare
About BRENT BEAM
This page provides the complete NPI Profile along with additional information for Brent Beam, a provider established in Ann Arbor, Michigan with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1174710644 assigned on September 2007. The practitioner's primary taxonomy code is 103TC1900X with license number 6301014665 (MI). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1174710644 Verify this NPI
- Provider Name
- BRENT BEAM PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 218 N 4TH AVE SUITE 211 ANN ARBOR, MI 48104
- Location Phone
- (734) 531-8831
- Mailing Address
- 617 W LIBERTY ST APT 2 ANN ARBOR, MI 48103
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-28-2007
- Last Update Date
- 03-27-2012
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Brent Beam opted out of Medicare effective on 10-02-2023 until 10-02-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Counseling
- Taxonomy Code
- 103TC1900X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301014665
- License State
- MI
- Taxonomy Description
- A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-02-2023
Opt-Out End Date: 10-02-2027
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
ANN ARBOR, MI 48104
ANN ARBOR, MI 48104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174710644, enumerated as an "individual" on September 28, 2007.
The provider is located at 218 N 4TH AVE SUITE 211 ANN ARBOR, MI 48104 and the phone number is (734) 531-8831.
Psychologist with taxonomy code 103TC1900X and a focus in Counseling.
