DR. PETER MICHAEL LISIECKI (NPI# 1164744983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164744983 |
| Entity Type | Individual |
| Full Name | DR. PETER MICHAEL LISIECKI |
| Credential | PH.D |
| Practice Address |
7960 Grand River Rd Suite 120 Brighton MI 48114-7330 |
| Practice Telephone | 8102271999 |
| Practice Fax Number | 8102252265 |
| Mailing Telephone | 8102271999 |
| Mailing Fax Number | 8102252265 |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301003173 | MI | Behavioral Health & Social Service Providers |
| Street Address |
7960 GRAND RIVER RD SUITE 120 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356302848 | Kidney Centers of Michigan LLC | Clinic/Center | 7960 Grand River Rd, Ste 210, Brighton, MI 48114-7336 | 2006-04-01 |
| 1689039034 | Lauren Tomasko | Dietitian, Registered | 7960 Grand River Rd, Brighton, MI 48114-7330 | 2015-12-29 |
| 1720465016 | Renal Treatment Centers Illinois Inc | Clinic/Center | 7960 Grand River Rd, Suite 210, Brighton, MI 48114-7336 | 2015-05-06 |
| 1245664655 | Marni Anne Gauci | Psychologist | 7960 Grand River Rd, Suite 120, Brighton, MI 48114-7330 | 2013-08-22 |
| 1326349655 | Eva Marie Michals | Physician Assistant | 7960 Grand River Rd, Suite 160, Brighton, MI 48114-7330 | 2010-11-03 |
| 1497080741 | American Current Care of Michigan, P.c | Clinic/Center | 7960 Grand River Rd, Suite 100, Brighton, MI 48114-7330 | 2009-10-05 |
| 1134382799 | Occupational Health Centers of Michigan PC | Clinic/Center | 7960 Grand River Rd, Suite 100, Brighton, MI 48114-7330 | 2008-07-03 |
| 1356541379 | Catharine Manzo | Social Worker | 7960 Grand River Rd, Suite 110, Brighton, MI 48114-7330 | 2007-07-18 |
| 1467652545 | Kristene M Schneider | Social Worker | 7960 Grand River Rd, Suite 110, Brighton, MI 48114-7330 | 2007-07-18 |
| 1114138633 | Binh Dinh | Psychiatry & Neurology | 7960 Grand River Rd, Suit 110, Brighton, MI 48114-7330 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849339 | Neuropsychology Partners, LLC | Psychologist | 7305 Grand River Rd Ste 300, Brighton, MI 48114-7378 | 2017-09-07 |
| 1063860955 | Samantha Rae Breneman | Psychologist | 7600 Grand River Rd Ste 290, Brighton, MI 48114-7340 | 2016-06-01 |
| 1407214232 | Ellen I Koch | Psychologist | 2040 Grand River Anx Ste 300, Brighton, MI 48114-5313 | 2016-02-08 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1033534235 | Frank Rubino | Psychologist | 6709 Kilberry Ct, Brighton, MI 48114-7423 | 2014-02-25 |
| 1548695604 | Brittney Briggs | Psychologist | 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 | 2013-09-09 |
| 1508209479 | Bryce Hella | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2013-04-10 |
| 1043547821 | Roberta Anne Hitt | Psychologist | 10524 Grand River Rd Ste 107b, Brighton, MI 48116-9559 | 2009-11-16 |
| 1871743385 | Melissa Bochicchio Meyer | Psychologist | 288 Summit Ave # 2, Brighton, MA 02135-7607 | 2008-09-22 |
| 1891972279 | Ruthann Davis | Psychologist | 2900 Dunsary Ln, Suite A, Brighton, MI 48114-9447 | 2008-01-28 |
| Find all providers in BRIGHTON | ||||
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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.