DR. ANITA KUMAR CHANG (NPI# 1144563461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144563461 |
| Entity Type | Individual |
| Full Name | DR. ANITA KUMAR CHANG |
| Credential | D.O. |
| Practice Address |
4201 Saint Antoine St # 9c Detroit MI 48201-2153 |
| Mailing Address |
700 Ackerman Rd Ste 570 Columbus OH 43202-1579 |
| Practice Telephone | 3137455147 |
| Mailing Telephone | 6142932594 |
| Mailing Fax Number | 6142934487 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34013315 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518469972 | Anita Backus Chang | Anesthesiology | 3388 Ivan Way, Mountain View, CA 94040-4535 | 2018-03-01 |
| 1528499985 | Anita Chang | Acupuncturist | 4602 Alveo Rd, La Canada Flintridge, CA 91011-3705 | 2013-12-10 |
| 1740893387 | Anita Chang | Pharmacist | 9028 Walnut Grove Rd, Cordova, TN 38018-7469 | 2020-08-24 |
| 1013233535 | Anita Chang | Internal Medicine | 818 Webster St, Asian Health Services, Oakland, CA 94607 | 2010-04-08 |
| 1295916831 | Anita I Chang | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2007-11-26 |
| Street Address |
4201 SAINT ANTOINE ST # 9C |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
| 1609499193 | Fred Henry Daniel Charles | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-05-19 |
| 1215559059 | Aws Polina | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-05-14 |
| 1922620954 | Anika Pewlee | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-05-13 |
| 1639791916 | Lawrence Tyng-hann Chen | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-05-10 |
| 1720600265 | Alix Charles Jr. | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-05-07 |
| 1558982504 | Amy Capone | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-04-30 |
| 1417578626 | Alissa Anne Moody | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-04-28 |
| 1194346429 | John-ezekiel Sengco Dayco | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-04-28 |
| 1720609001 | Chibuzo Casey Ohanaja | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2020-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126797 | Vijaya Gopal Kotha Md PC | Psychiatry & Neurology | 22101 Moross Rd Fl 6, Detroit, MI 48236-2148 | 2018-05-31 |
| 1851831713 | Jennifer L Rostamabadi-cook | Psychiatry & Neurology | 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 | 2017-02-26 |
| 1447604608 | Zaid Baha | Psychiatry & Neurology | 14533 Mack Ave, Detroit, MI 48215-2520 | 2016-04-14 |
| 1487035127 | Shehryar Khan | Psychiatry & Neurology | 1350 W Bethune St Apt 1704, Henry Ford Hospital Guest Housing, Detroit, MI 48202-2666 | 2015-06-17 |
| 1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
| 1588979421 | Tiwalola Olufunke Kolawole | Psychiatry & Neurology | 1 Ford Pl Ste 1f, Detroit, MI 48202-3450 | 2010-08-16 |
| 1033445754 | Robert Dale Smeed Jr. | Psychiatry & Neurology | 400 River Place Dr, Apt 4212, Detroit, MI 48207-5202 | 2009-10-30 |
| 1962699736 | Wendy Joy Besler | Psychiatry & Neurology | 3031 W Grand Blvd Ste 450, Detroit, MI 48202-3026 | 2007-09-26 |
| 1649497850 | Lindsay Rose Dykema | Psychiatry & Neurology | 2255 Atkinson St, Detroit, MI 48206-2010 | 2007-04-19 |
| 1316079270 | Bardia Gholami | Psychiatry & Neurology | 3901 Chrysler Dr Fl 3, Detroit, MI 48201 | 2007-03-09 |
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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.