MRS. KATHRYN JOANNE BROWN (NPI# 1104286046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104286046 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN JOANNE BROWN |
| Credential | LMSW |
| Practice Address |
1370 N Oakland Blvd Ste 105 Waterford MI 48327-1572 |
| Practice Telephone | 2486668870 |
| Mailing Telephone | 2483967390 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6801096946 | MI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE OF MI | 6801096946 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 114 Orchard Lake Rd, Pontiac, MI 483412244 | 2486243812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142758 | Kathryn Stahly Brown | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Ste 2b200, Salt Lake City, UT 84132-0002 | 2020-04-05 |
| 1922467885 | Kathryn Brown | Counselor | 1001 Fairfield Dr, Mt Pleasant, MI 48858-4317 | 2016-02-19 |
| 1962874297 | Kathryn Brown | Dietitian, Registered | 1500 Robin Cir, Apt 314, Hoffman Estates, IL 60169-1152 | 2015-10-26 |
| 1346628963 | Kathryn Julie Brown | Dentist | 526 W Genesee St Ste 4, Frankenmuth, MI 48734-1357 | 2015-05-14 |
| 1336560697 | Kathryn Brown | Health Maintenance Organization | 1006 Englewood Rd, Cleveland Heights, OH 44121-2046 | 2014-01-03 |
| 1699027250 | Kathryn B Brown | Occupational Therapist | 40 Schmidt Rd, Grove City, PA 16127-3436 | 2012-10-08 |
| 1881958437 | Kathryn Leeann Brown | Optometrist | 115 Audubon Dr., Ste 8, Maumelle, AR 72113-7409 | 2012-06-28 |
| 1912279126 | Kathryn Nicole Brown | Physical Therapy Assistant | 548 Sandpiper Ln Apt 312, Wadsworth, OH 44281-6270 | 2012-02-02 |
| 1093094443 | Kathryn Susan Brown | Occupational Therapist | 209 Dolomite Dr, Colorado Springs, CO 80919-2207 | 2011-08-16 |
| 1306155288 | Kathryn Paige Dickens Brown | Pharmacist | 205 Day Dorm Road Riddle Building 2nd Floor, Campbell University College of Pharmacy, Buies Creek, NC 27506 | 2010-09-27 |
| Street Address |
1370 N OAKLAND BLVD STE 105 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740814110 | Varsha George | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2020-02-25 |
| 1538724513 | Daniel Thomas Colfer | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2019-05-06 |
| 1275018319 | Mirissa Lynne Gagnier | Student in an Organized Health Care Education/Training Program | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2018-09-25 |
| 1336657949 | Amanda Condic | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2018-01-17 |
| 1619498235 | Jason Poblacion | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| 1790191690 | Therese Anne Dumas | Counselor | 1255 North Oakland Blvd, Waterford, MI 48327 | 2014-07-11 |
| 1992092811 | Jennifer Rae Hurst | Counselor | 1255 N Oakland Blvd Ste 100, Waterford, MI 48327-1578 | 2011-06-29 |
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1477737674 | Christine Joan Humphrey | Counselor | 1435 N. Oakland Blvd., Waterford, MI 48327 | 2007-12-24 |
| 1275743650 | Shania S Alexander | Counselor | 1255 N. Oakland Blvd, Waterford, MI 48327 | 2007-05-23 |
| 1467577510 | Lisa Ann Page | Counselor | 3720 Elizabeth Lake Rd, Waterford, MI 48328-3014 | 2007-03-20 |
| 1396869988 | James E Deloney | Counselor | 3139 W Huron St, Waterford, MI 48328-3636 | 2007-03-19 |
| Find all providers in WATERFORD | ||||
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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.