DR. MICHAEL C GOTTLIEB (NPI# 1104940105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104940105 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL C GOTTLIEB |
| Credential | PH.D. |
| Practice Address |
12810 Hillcrest Rd B224 Dallas TX 75230-1525 |
| Practice Telephone | 9726610746 |
| Practice Fax Number | 9723850093 |
| Mailing Telephone | 9726610746 |
| Mailing Fax Number | 9723850093 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20987 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467867499 | Michael Gottlieb | Behavioral Analyst | 3724 1/2 Corinth Ave, Los Angeles, CA 90066-3440 | 2014-06-28 |
| 1215462205 | Michael S Gottlieb | Nurse Practitioner | 500 Peconic St, 92a, Ronkonkoma, NY 11779-7100 | 2017-04-27 |
| 1821355082 | Michael Gottlieb | Emergency Medicine | 1900 W Polk St, Dept of Emergency Medicine - 10th Floor, Chicago, IL 60612-3723 | 2012-04-12 |
| 1861713034 | Michael Gottlieb | Obstetrics & Gynecology | 1 Randall Sq, Ste 205, Providence, RI 02904-2709 | 2010-06-22 |
| 1851457683 | Michael N Gottlieb | Internal Medicine | Metrowest Medical Center, 67 Union Street, Natick, MA 01760 | 2006-12-28 |
| 1871506808 | Michael Stuart Gottlieb | Specialist | 5901 W Olympic Blvd, Suite 401, Los Angeles, CA 90036-4667 | 2006-08-14 |
| 1821066465 | Michael A Gottlieb | Otolaryngology | 5140 Liberty Ave Ste 102, Pittsburgh, PA 15224-2215 | 2006-03-09 |
| 1609858075 | Michael Milton Gottlieb | Surgery | 1320 El Capitan Dr, Suite 440, Danville, CA 94526-6258 | 2005-11-18 |
| Street Address |
12810 HILLCREST RD B224 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144300674 | Jeffrey Glass | Psychiatry & Neurology | 12810 Hillcrest Rd, Suite B220, Dallas, TX 75230-1525 | 2006-10-17 |
| 1144821000 | Shelbi Lynn Roberson | Physical Therapist | 12810 Hillcrest Rd, Dallas, TX 75230-1525 | 2020-11-05 |
| 1396285136 | Hannah Morton | Occupational Therapist | 12810 Hillcrest Rd, Suite B-100, Dallas, TX 75230-1525 | 2017-02-27 |
| 1376093690 | Gretchen Manes | Counselor | 12810 Hillcrest Rd, B-225, Dallas, TX 75230-1525 | 2016-10-11 |
| 1124487954 | Julie Neel | Occupational Therapist | 12810 Hillcrest Rd, Suiteb-100, Dallas, TX 75230-1525 | 2016-02-22 |
| 1336508084 | Lifepointe Hospice Dallas Metroplex LLC | Hospice Care, Community Based | 12810 Hillcrest Rd, Suite B-127, Dallas, TX 75230-1525 | 2016-02-22 |
| 1619342672 | Stanford Couples Counseling, Pllc | Marriage & Family Therapist | 12810 Hillcrest Rd, Suite B-225, Dallas, TX 75230-1525 | 2015-12-02 |
| 1043604598 | Ashley Michelle Williams | Physical Therapist | 12810 Hillcrest Rd, Suite B100, Dallas, TX 75230-1525 | 2015-03-23 |
| 1497149298 | Brittany Tuttle | Occupational Therapist | 12810 Hillcrest Rd, B-100, Dallas, TX 75230-1525 | 2015-03-19 |
| 1609273788 | Emily Beyer | Occupational Therapist | 12810 Hillcrest Rd, B100, Dallas, TX 75230-1525 | 2014-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1801430483 | Yaffa Podbilewicz-schuller | Psychologist | 6618 Elvedon Dr, Dallas, TX 75248-1324 | 2019-11-06 |
| 1578111993 | Anne Caroline Brasch | Psychologist | 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 | 2019-08-28 |
| 1215497672 | Tiffany Armstrong | Psychologist | 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 | 2019-03-21 |
| 1275001208 | Bryan Elliott Jester | Psychologist | 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 | 2018-11-07 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| Find all providers in DALLAS | ||||
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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.