DR. M. ROUSSEAU, PLLC (NPI# 1053456525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053456525 |
| Entity Type | Organization |
| Organization Name | DR. M. ROUSSEAU, PLLC |
| Practice Address |
732 Holland Ave Port Huron MI 48060-1512 |
| Mailing Address |
3560 Pine Grove Ave # 613 Port Huron MI 48060-1994 |
| Practice Telephone | 8104346280 |
| Mailing Telephone | 8109564389 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHELLE M ROUSSEAU (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 8109564389 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301012660 | MI | Behavioral Health & Social Service Providers |
| Street Address |
732 HOLLAND AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578714804 | Fredric B Roberts Edd PC | Psychologist | 2033 11th Ave, Port Huron, MI 48060-3207 | 2008-10-06 |
| 1154441905 | Beverly Sharon Hull | Psychologist | 511 Fort St Rm 505, Port Huron, MI 48060 | 2007-03-29 |
| 1306955810 | Lynn Jubelt Vinson | Psychologist | 821 7th St, Port Huron, MI 48060-5324 | 2006-08-29 |
| 1184738676 | Laura W Fadell | Psychologist | 520 Superior St, Port Huron, MI 48060-3838 | 2006-08-19 |
| 1871606384 | Mary Sermo | Psychologist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-08-17 |
| 1366555286 | Michelle M Rousseau | Psychologist | 520 Superior St, Port Huron, MI 48060-3838 | 2006-08-16 |
| 1962515577 | Thomas A Seilheimer | Psychologist | 520 Superior St, Port Huron, MI 48060-3838 | 2006-08-16 |
| 1578576492 | Colleen Kay Skrypkun | Psychologist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-08-14 |
| 1316959992 | Kevin Eugene Dooley | Psychologist | 1007 Military St, Port Huron, MI 48060-5416 | 2006-08-12 |
| 1467463943 | Peter Frank Frontiero | Psychologist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-08-10 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on DR. M. ROUSSEAU, PLLC.
| 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.