ALBERT STANLEY ANISKIEWICZ (NPI# 1013991470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013991470 |
| Entity Type | Individual |
| Full Name | ALBERT STANLEY ANISKIEWICZ |
| Credential | PH.D., ABPP |
| Practice Address |
909 Fee Rd Room B119 Michigan State University Department of Psychiatry East Lansing MI 48824-1315 |
| Mailing Address |
965 Fee Rd Room A239 Michigan State University Department of Psychiatry East Lansing MI 48824-2893 |
| Practice Telephone | 5173533070 |
| Practice Fax Number | 5174323603 |
| Mailing Telephone | 5173533070 |
| Mailing Fax Number | 5174323603 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2012-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 6301001543 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301001543 | MI | Behavioral Health & Social Service Providers |
| Street Address |
909 FEE RD ROOM B119 MICHIGAN STATE UNIVERSITY DEPARTMENT OF PSYCHIATRY |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315628 | Deborah Banazak Wagenaar | Psychiatry & Neurology | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-11-30 |
| 1861609992 | Alyse F Ley | Psychiatry & Neurology | 909 Fee Rd Room B119, East Lansing, MI 48824-3603 | 2007-05-17 |
| 1952337545 | Michigan State University Dept of Psychiatry | Psychiatry & Neurology | 909 Fee Rd Room B119, East Lansing, MI 48824-6549 | 2006-06-24 |
| 1083698930 | Christine Larsen Shafer | Psychiatry & Neurology | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-12-05 |
| 1518941574 | Dianne Seaver Singleton | Psychologist | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-12-02 |
| 1962486928 | Christopher Paul Giuliano | Psychologist | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-12-02 |
| 1619951936 | Jed Gary Magen | Psychiatry & Neurology | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497126734 | Cynthia Malewska | Psychologist | 1905 Abbot Rd. #1, East Lansing, MI 48823 | 2015-10-13 |
| 1023367877 | Matthew Jerome Orlando | Psychologist | 541 E Grand River Ave Ste E, East Lansing, MI 48823-4445 | 2012-09-06 |
| 1134355639 | Jason S Moser | Psychologist | 316 Physics Rd, East Lansing, MI 48824-5604 | 2009-06-10 |
| 1790931251 | Jacqueline Mezza Titus | Psychologist | 151 Psychology Bldg, Michigan State Psychological Clinic, East Lansing, MI 48824-1116 | 2008-08-14 |
| 1740458504 | Amy Susan Kolberg | Psychologist | 1210 Stonegate Ln, East Lansing, MI 48823-2864 | 2008-02-14 |
| 1831374792 | John R Taylor | Psychologist | 601 Abbot Rd, Suite 101, East Lansing, MI 48823-3366 | 2008-01-09 |
| 1154531440 | Robert Dean Smith | Psychologist | 3505 Coolidge Rd, East Lansing, MI 48823-6377 | 2007-05-23 |
| 1831318203 | Mary Nowack | Psychologist | 4572 S Hagadorn Rd Ste 2aw, East Lansing, MI 48823-5385 | 2007-04-24 |
| 1316069438 | Kathi Ann Hull | Psychologist | 2911 Eyde Pkwy, Suite 100, East Lansing, MI 48823-5381 | 2007-04-06 |
| 1093833501 | Nicole Therese Buchanan | Psychologist | 200 Woodland Pass Ste E, East Lansing, MI 48823-2000 | 2007-03-26 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
Please comment or provide details below to improve the information on ALBERT STANLEY ANISKIEWICZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.