DR. THOMAS EDWARD FISH (NPI# 1205348117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205348117 |
| Entity Type | Individual |
| Full Name | DR. THOMAS EDWARD FISH |
| Credential | PHD, MA, MFA, CHT |
| Practice Address |
14799 Dix Toledo Rd Southgate MI 48195-2507 |
| Practice Telephone | 9899719445 |
| Mailing Telephone | 9899719445 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401007638 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114041407 | Thomas Joseph Fish | Chiropractor | 24376 La Glorita Cir, Newhall, CA 91321-2306 | 2007-03-19 |
| 1952649808 | Thomas Charles Fish Jr. | Physical Therapy Assistant | 3150 Burke Mill Rd, Winston Salem, NC 27103-6431 | 2013-01-28 |
| 1710284179 | Thomas R Fish | Social Worker | 1581 Dodd Dr, Mccampbell Hall, Suite 300, Columbus, OH 43210-1257 | 2011-02-22 |
| 1023095999 | Thomas Taylor Fish | Anesthesiology | 4901 Grande Dr, Pensacola, FL 32504-5935 | 2005-12-30 |
| 1932100666 | Thomas Alan Fish | Nurse Anesthetist, Certified Registered | 55 Lake Ave N, Department of Anesthesiology, Worcester, MA 01655-0002 | 2005-08-03 |
| Street Address |
14799 DIX TOLEDO RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326297672 | Michael Paul Lingar | Psychologist | 14799 Dix Toledo Rd, Suite 1100, Southgate, MI 48195-2507 | 2008-09-11 |
| 1457961419 | Amber Iyana Threat | Social Worker | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-08-05 |
| 1336757764 | Caroline Radzwion | Social Worker | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-07-22 |
| 1235747577 | Rachel Gonzalez | Social Worker | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-07-22 |
| 1609494046 | Dequindre Lashay Jernigan | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-07-13 |
| 1043837305 | Brian Adam Demoisey | Social Worker | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-07-02 |
| 1215554803 | Sheila Renee Hatton | Nurse Practitioner | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-06-29 |
| 1265053557 | Tamara Reneise Ellis | Social Worker | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-04-28 |
| 1497375596 | Anupamdeep K Sohal | Social Worker | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-04-20 |
| 1205456308 | Donald Ray Cisco Jr. | Social Worker | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174636682 | Cassandra Cleotha Sheriff | Counselor | 19170 Eureka Rd, Southgate, MI 48195-2985 | 2006-08-17 |
| 1811504558 | Auburn Elswick | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-27 |
| 1790306835 | Heather Lynn Sandoval | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-04-29 |
| 1376026195 | Michelle C Williams | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-09-07 |
| 1336631274 | Sonia Armida Andzelik | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-06-06 |
| 1801397625 | Spire 9 LLC Dba Adp Mental Health Centers of Mi | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2018-02-27 |
| 1972004166 | Spire 9 LLC | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2018-02-23 |
| 1902306145 | Valarie Russell | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2018-02-14 |
| 1508317538 | Dellkawaa Jacobs | Counselor | 13101 Allen Rd, Southgate, MI 48195 | 2016-10-14 |
| 1396125852 | Laura Lee Gerwatowski | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2015-05-31 |
| Find all providers in SOUTHGATE | ||||
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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.