DR. ERIC S BLUMBERG (NPI# 1083821946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083821946 |
| Entity Type | Individual |
| Full Name | DR. ERIC S BLUMBERG |
| Credential | PH.D., LPC |
| Practice Address |
12010 Linwood St Detroit MI 48206-1108 |
| Mailing Address |
915 Leroy St Ferndale MI 48220-3114 |
| Practice Telephone | 3138671090 |
| Practice Fax Number | 3138670706 |
| Mailing Telephone | 3138671090 |
| Mailing Fax Number | 3138670706 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401006393 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023282563 | Eric Harry Blumberg | Pharmacist | 210 Gulph Creek Rd, Wayne, PA 19087-4502 | 2008-04-16 |
| Street Address |
12010 LINWOOD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48206-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659906 | Elmhurst Home, Inc. | Substance Abuse Rehabilitation Facility | 12010 Linwood St, Detroit, MI 48206-1108 | 2007-05-16 |
| 1013576669 | Tracey Wilson | Behavioral Analyst | 12010 Linwood St, Detroit, MI 48206-1108 | 2019-06-07 |
| 1225599459 | Thomas Edward Bradley Jr. | Behavioral Analyst | 12010 Linwood St, Detroit, MI 48206-1108 | 2019-03-29 |
| 1467922310 | Deja Collins-echandia | Social Worker | 12010 Linwood St, Detroit, MI 48206-1108 | 2018-12-03 |
| 1912417379 | Lisa Renee Levy | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2017-10-11 |
| 1760908008 | Cynthia Simmons | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2017-08-18 |
| 1427590843 | Eddie Lee Bailey Jr. | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-16 |
| 1477095347 | Vincent Manly II | Social Worker | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-09 |
| 1417499302 | Jacqueline Darnell | Substance Abuse Rehabilitation Facility | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-09 |
| 1194267054 | Chanell Ezell | Counselor | 12010 Linwood St, Detroit, MI 48206-1108 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1306330246 | Harper's Care Club, LLC | Home Health | 1732 W Bethune St Apt 4, Detroit, MI 48206 | 2018-06-14 |
| 1700210440 | Tender Loving Care Assisted Living | Custodial Care Facility | 2250 W.euclid, Detroit, MI 48206 | 2013-08-29 |
| 1063560761 | Platinum Care Pharmacy Inc. | Pharmacy | 8500 14th Street, Detroit, MI 48206 | 2007-01-08 |
| 1619067527 | Young-sims Clinic PC | Family Medicine | 9150 Linwood, Detroit, MI 48206 | 2006-10-13 |
| 1093811200 | Grace W Patterson | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-15 |
| 1164437992 | Rosa Park Medical Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8665 Rosa Parks Boulavard, Detroit, MI 48206 | 2006-07-30 |
| 1336495696 | Ephraim I Onwuegbuchu | Pharmacist | 8500 14th Street, Detroit, MI 48206 | 2012-07-24 |
| 1962647552 | Jabez Recovery Management Services, Inc | Substance Abuse Rehabilitation Facility | 2755 Collingwood St, Detroit, MI 48206 | 2008-12-10 |
| 1033215918 | Robert Nmn Sims | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-16 |
| Find all providers in zip 48206 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244731 | Better Days Counseling, Pllc | Counselor | 13501 Schaefer Hwy, Detroit, MI 48227-3538 | 2020-08-08 |
| 1174144281 | Jasmine Noble | Counselor | 1535 Franklin St Apt 201, Detroit, MI 48207-4056 | 2020-04-29 |
| 1306473145 | Julie Weatherhead | Counselor | 1624 Estates Dr, Detroit, MI 48206-2814 | 2020-03-23 |
| 1972134591 | Tanya Bankston | Counselor | 4221 Moran St, Detroit, MI 48207-1705 | 2020-02-01 |
| 1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
| 1922561059 | Odis Bellinger | Counselor | 440 Burroughs St Ste 149, Detroit, MI 48202-3429 | 2019-04-06 |
| 1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1942764329 | Crystal Jean Oliver | Counselor | 13770 Mecca St., Detroit, MI 48227-3025 | 2019-01-30 |
| 1922577246 | Sheila Marie Cheeks | Counselor | 1600 Pingree St, Detroit, MI 48206-2436 | 2018-11-15 |
| Find all providers in DETROIT | ||||
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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.