DR. STEPHEN HIBBARD (NPI# 1114967361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967361 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN HIBBARD |
| Credential | PH.D. |
| Practice Address |
496 W Ann Arbor Trl Suite 108 Plymouth MI 48170-6262 |
| Practice Telephone | 7346735850 |
| Practice Fax Number | 7344141586 |
| Mailing Telephone | 7346735850 |
| Mailing Fax Number | 7344141586 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
63010M370 | MI | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
63010M370 | MI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
63010M370 | MI | Behavioral Health & Social Service Providers |
| Street Address |
496 W ANN ARBOR TRL SUITE 108 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-6262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598271397 | Courtney Lobeck | Counselor | 496 W Ann Arbor Trl, Plymouth, MI 48170-6262 | 2017-12-17 |
| 1336538230 | Soothing Dental Pllc | Clinic/Center | 496 W Ann Arbor Trl, Suite 201, Plymouth, MI 48170-6262 | 2015-01-15 |
| 1033517586 | Jason Lewis | Psychologist | 496 W Ann Arbor Trl, Plymouth, MI 48170-6262 | 2014-12-16 |
| 1669729976 | Obiageli N Okafor | Counselor | 496 W Ann Arbor Trl, Suite 202, Plymouth, MI 48170-6262 | 2012-08-07 |
| 1902160435 | Kathleen Gail Ivanoff | Psychologist | 496 W Ann Arbor Trl, Suite 202, Plymouth, MI 48170-6262 | 2012-06-29 |
| 1730466632 | Jacquelyn Juanita Tobey | Psychologist | 496 W Ann Arbor Trl, Plymouth, MI 48170-6262 | 2011-11-07 |
| 1881996932 | Katharine Parker Case | Social Worker | 496 W Ann Arbor Trl, Suite 202, Plymouth, MI 48170-6262 | 2010-11-23 |
| 1497888176 | Craig Alan Fuelling | Psychiatry & Neurology | 496 W Ann Arbor Trl, Suite 107, Plymouth, MI 48170-6262 | 2007-03-13 |
| 1225041858 | Andrea S. Vivian, Dds, PC | Dentist | 496 W Ann Arbor Trl, Suite 201, Plymouth, MI 48170-6262 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851448146 | Growth Works, Inc | Psychologist | 271 S Main Street, Plymouth, MI 48170 | 2007-01-05 |
| 1376902999 | Recovery Partners, PC At Plymouth | Psychologist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2016-02-11 |
| 1477686178 | Jordon Nicole Trombley | Psychologist | 271 S Main St, Plymouth, MI 48170-1637 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137883 | Lazarusman Consulting, Pllc | Psychologist | 2416 Peck St, Muskegon Hts, MI 49444-1431 | 2020-02-29 |
| 1861031189 | Christina M Kaplan, Pllc | Psychologist | 39520 Woodward Ave Ste 201, Bloomfield Hills, MI 48304-5057 | 2020-01-03 |
| 1184273716 | Drbrandi | Psychologist | 16250 Northland Dr Ste 240, Southfield, MI 48075-5227 | 2019-09-06 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508202920 | Abaris Health | Psychologist | 2501 Rochester Ct, Troy, MI 48083-1875 | 2013-05-13 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| 1003161282 | Michael George Brock | Psychologist | 2514 Biddle Avenue, Wyandotte, MI 48192 | 2012-07-13 |
| 1972860005 | Samaritas | Psychologist | 128 S Cochran Ave, Charlotte, MI 48813-1510 | 2012-04-13 |
| 1619254042 | Kathryn Bartz | Psychologist | 500 Barfield Dr., Hastings, MI 49058-9018 | 2011-11-14 |
| 1609100627 | Laytoya Chevette Lambeth | Psychologist | 51255 Luke Ln, Novi, MI 48374-1004 | 2009-09-23 |
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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.