Doctor profile · Federal record
Dr. Patchawan Phunwutikorn, PSYD
Psychologist (CMS: Clinical Psychologist) · Grand Blanc, MI
- NPI 1114455706
- Accepts Medicare
- 6 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1 Genesys Pkwy
Grand Blanc, MI 484398065
(810) 606-5126 - Additional location
-
2325 Clement Ave Ste A
Alameda, CA 945017061
(510) 629-6367 - Mailing address
-
2004 Fox Hill Dr Apt 1
Grand Blanc, MI 484395244
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- August 17, 2022
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 103T00000X — NUCC code
- Medicaid
- CA #8121
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114455706. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
44
Distinct HCPCS
2
Medicare allowed
$4,169
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90832 |
Psychotherapy, 30 minutes | 28 | 14 | $65 | |
90791 |
Psychiatric diagnostic evaluation | 16 | 16 | $147 |
In context: peer comparison
Among 1 peers in Grand Blanc Psychologist, average services per provider: 22. This provider delivers 2.0× the peer median.Frequently asked questions
What is Dr. Patchawan Phunwutikorn's medical specialty?
Dr. Patchawan Phunwutikorn practices Psychologist in Grand Blanc, MI.
Where does Dr. Patchawan Phunwutikorn practice?
Dr. Patchawan Phunwutikorn practices at 1 Genesys Pkwy, Grand Blanc, MI 484398065. Office phone: 8106065126.
What is Dr. Patchawan Phunwutikorn's NPI?
Dr. Patchawan Phunwutikorn's National Provider Identifier (NPI) is 1114455706, issued by NPPES.
Does Dr. Patchawan Phunwutikorn accept Medicare assignment?
Yes. Dr. Patchawan Phunwutikorn accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Patchawan Phunwutikorn commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90832); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.