KEITH CORNELL DLUGOKINSKI (NPI# 1104099100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104099100 |
| Entity Type | Individual |
| Full Name | KEITH CORNELL DLUGOKINSKI |
| Credential | PH.D. |
| Practice Address |
1547 S Wayne Rd Westland MI 48186-5436 |
| Practice Telephone | 7347293133 |
| Mailing Telephone | 7347293133 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006279 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1547 S WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48186-5436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538133020 | Tae Won Park | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186 | 2006-02-14 |
| 1548760036 | Kathleen Tayeh | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2018-02-20 |
| 1619315538 | Apex Behavioral Health Western-wayne | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2013-06-13 |
| 1962779710 | Apex Behavioral Health Western Wayne | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2011-11-22 |
| 1669764734 | Apex Behavioral Health | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2011-05-09 |
| 1548407141 | Alicia C Shamblin | Counselor | 1547 S Wayne Rd, Westland, MI 48186 | 2009-01-20 |
| 1588826986 | Carla Lee | Counselor | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-06-26 |
| 1306008958 | Jill Blackson | Social Worker | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-06-25 |
| 1396905386 | Stacey Lynn Porreca | Counselor | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-06-12 |
| 1831363332 | Barbara Jean Payne | Psychologist | 1547 S Wayne Rd, Westland, MI 48186-5436 | 2008-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811539562 | Danny's Pharmacy | Pharmacy | 1629 S Merriman, Westland, MI 48186 | 2019-10-15 |
| 1740777499 | Nicole Marie Milz | Social Worker | 32517 Dorsey St, Westland, MI 48186 | 2018-04-18 |
| 1417483678 | Heidi Harmony Romero | Nurse Practitioner | 1952 Treadwell St, Westland, MI 48186 | 2017-05-10 |
| 1578010013 | Marguerite Wilhemina Way | Private Vehicle | 2439 Stieber St., Westland, MI 48186 | 2016-09-01 |
| 1275991440 | Robie Mcqueen | Counselor | 2661 Stieber St, Westland, MI 48186 | 2016-02-03 |
| 1134486558 | All About Baby | Case Management | 1620 Leslie St, Westland, MI 48186 | 2012-04-23 |
| 1619242013 | Sure Care Enterprises, LLC | Home Health | 400 Venoy, Westland, MI 48186 | 2012-03-19 |
| 1033388442 | Diane Marie Dart-baden | Psychologist | 1547 South Wayne Road, Westland, MI 48186 | 2008-02-29 |
| 1649448002 | Ameri Group Services, Inc. | Durable Medical Equipment & Medical Supplies | 1150 S Wayne Rd, Westland, MI 48186 | 2008-02-19 |
| 1285816645 | Choices 4 Transportation Service, LLC | Non-emergency Medical Transport (VAN) | 29063 Currier Avenue, Westland, MI 48186 | 2007-11-28 |
| Find all providers in zip 48186 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336719 | Mary Joy Mcmachen | Psychologist | 6492 Pembrook Dr, Westland, MI 48185-7760 | 2006-07-13 |
| 1700426699 | Reem Baha Fakherddine | Psychologist | 8623 N Wayne Rd, Westland, MI 48185-1137 | 2020-01-08 |
| 1871130575 | Sham Al-mehdi | Psychologist | 8623 N Wayne Rd Ste 123, Westland, MI 48185-1137 | 2019-12-02 |
| 1811452659 | Emily Ruth Pritchett | Psychologist | 28303 Joy Rd, Westland, MI 48185-5524 | 2019-02-06 |
| 1215397328 | Rowyda Kazan | Psychologist | 8623 N Wayne Rd, Westland, MI 48185-1137 | 2016-03-02 |
| 1811361173 | Ashley Crooks | Psychologist | 8623 N Wayne Rd, Westland, MI 48185-1137 | 2015-11-23 |
| 1588045827 | Crystal Banks | Psychologist | 28303 Joy Rd, Westland, MI 48185-5524 | 2015-06-12 |
| 1720362049 | Rebecca Jordan | Psychologist | 8623 N Wayne Rd, Suite 310, Westland, MI 48185-1137 | 2011-10-05 |
| 1609156694 | Kendra Ann Kehl-fie | Psychologist | 35300 Nankin Blvd, Suite # 601, Westland, MI 48185-7222 | 2011-08-22 |
| 1477856383 | Roy John Mohler Jr. | Psychologist | 28303 Joy Rd, Westland, MI 48185-5524 | 2010-12-15 |
| Find all providers in WESTLAND | ||||
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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.