KEVIN V. BARBER, PHD, MBA, PC (NPI# 1184149866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184149866 |
| Entity Type | Organization |
| Organization Name | KEVIN V. BARBER, PHD, MBA, PC |
| Practice Address |
25775 W 10 Mile Rd Ste C Southfield MI 48033-4856 |
| Mailing Address |
2050 South Blvd Po Box 757 Bloomfield Hills MI 48303-0757 |
| Practice Telephone | 2489710133 |
| Practice Fax Number | 7345312361 |
| Mailing Telephone | 2487550896 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | DR. KEVIN V BARBER (OWNER) |
| Authorized Official Telephone | 2487550896 |
| Authorized Official Credential | PHD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 6301007614 | MI | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
6301007614 | MI | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301007614 | MI | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
6301007614 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301007614 | MI | Behavioral Health & Social Service Providers |
| Street Address |
25775 W 10 MILE RD STE C |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285685263 | Julie Jain | Physical Therapist | 25775 W 10 Mile Rd Ste C, Southfield, MI 48033-4856 | 2006-05-13 |
| 1487288916 | Imotion Physical Therapy LLC | Physical Therapy Assistant | 25775 W 10 Mile Rd Ste C, Southfield, MI 48033-4856 | 2020-02-24 |
| 1578043857 | Jennifer Carr | Physical Therapy Assistant | 25775 W 10 Mile Rd Ste C, Southfield, MI 48033-4856 | 2018-08-16 |
| 1467968933 | Mariam Nassar | Physical Therapy Assistant | 25775 W 10 Mile Rd Ste C, Southfield, MI 48033-4856 | 2017-12-20 |
| 1336650324 | Christopher Andrew Wade | Massage Therapist | 25775 W 10 Mile Rd Ste C, Southfield, MI 48033-4856 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721794 | Sara Molloy | Psychologist | 16000 W 9 Mile Rd Ste 315, Southfield, MI 48075-4835 | 2020-02-10 |
| 1487138038 | Rose Camille Cook | Psychologist | 29500 Southfield Rd Ste 204, Southfield, MI 48076-2044 | 2018-09-19 |
| 1063951671 | Palina Drake | Psychologist | 21650 W 11 Mile Rd Ste 107, Southfield, MI 48076-3715 | 2017-02-15 |
| 1285016071 | The Help Couch, LLC | Psychologist | 29623 Northwestern Hwy, Southfield, MI 48034-1076 | 2015-06-29 |
| 1457745234 | Joseph Matthew Stabrava | Psychologist | 21221 Poinciana St, Southfield, MI 48033-5043 | 2015-03-19 |
| 1528461746 | Steven Mark Portnoy | Psychologist | 19875 Butternut Ln, Southfield, MI 48076-1795 | 2014-10-01 |
| 1790114098 | Matthew Buryta | Psychologist | 22190 W 9 Mile Rd, Southfield, MI 48033-6007 | 2013-11-06 |
| 1780988568 | Ruth Ann Hiner | Psychologist | 27136 Shagbark Dr, Southfield, MI 48076-3535 | 2011-01-07 |
| 1861637282 | Katherine A Zell | Psychologist | 22190 W. 9 Mile Rd., Southfield, MI 48334 | 2008-12-15 |
| 1245480961 | Jeffery Joseph Lusko | Psychologist | 24901 Northwestern Highway, Ste 500, Southfield, MI 48075 | 2008-09-30 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on KEVIN V. BARBER, PHD, MBA, PC.
| 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.