MEGAN PODLASKI (NPI# 1043644834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043644834 |
| Entity Type | Individual |
| Full Name | MEGAN PODLASKI |
| Practice Address |
21751 Ecorse Rd Taylor MI 48180-1846 |
| Mailing Address |
18510 Parke Ln Grosse Ile MI 48138-1036 |
| Practice Telephone | 3134064493 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015642 | MI | Behavioral Health & Social Service Providers |
| Street Address |
21751 ECORSE RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780173 | Gregory B. Gruley | Counselor | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2006-02-22 |
| 1437775236 | Emily Reif | Physical Therapist | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2020-06-18 |
| 1033769369 | Adam Vliet | Physical Therapist | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2019-09-18 |
| 1609315928 | Gina Gee | Physical Therapist | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2017-02-20 |
| 1295109718 | Joyce Balagot | Physical Therapist | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2015-11-20 |
| 1427464254 | Team Rehabilitation Ta, LLC | Physical Therapist | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2014-07-01 |
| 1669899076 | Stacy Dewald | Physical Therapist | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2014-03-24 |
| 1811311301 | Lukisha Mingledoff | Counselor | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2014-02-05 |
| 1457625246 | Michael Bolan | Social Worker | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2012-02-27 |
| 1326286931 | Mathew F Harris | Physical Therapist | 21751 Ecorse Rd, Taylor, MI 48180-1846 | 2009-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043483761 | Wendy Wright Bradley | Psychologist | 217151 Ecorse Rd., Taylor, MI 48180-1846 | 2008-04-03 |
| 1477673812 | Robert Wayne Gorman | Psychologist | 21751 Ecorse, Taylor, MI 48180 | 2007-03-30 |
| 1417297987 | Rabia Latif | Psychologist | 12345 Telegraph Rd, Suite 101, Taylor, MI 48180-6860 | 2013-02-21 |
| 1962755207 | Katie Marie Furton | Psychologist | 25507 Ecorse Rd, Taylor, MI 48180-1555 | 2012-10-24 |
| 1104176932 | Mildred Dean Clayton | Psychologist | 25507 Ecorse Rd, Taylor, MI 48180-1555 | 2012-09-19 |
| 1114190840 | June Edna Taylor | Psychologist | 25507 Ecorse Rd, Taylor, MI 48180-1555 | 2008-04-02 |
| 1699835611 | Robin Jones | Psychologist | 20600 Eureka Rd, Taylor, MI 48180-5343 | 2006-12-11 |
| 1407961311 | Vickie Lynn Bergen | Psychologist | 20600 Eureka Road, Suite 819, Taylor, MI 48180 | 2006-08-20 |
| 1962428748 | Rickey T. Jackson | Psychologist | 20600 Eureka Rd, Suite 819, Taylor, MI 48180-5343 | 2006-07-14 |
| 1093747602 | James A. Lacombe | Psychologist | 20600 Eureka Rd, Suite Number 720, Taylor, MI 48180-5343 | 2006-07-06 |
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| 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.