LISA M CORAM (NPI# 1215197926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215197926 |
| Entity Type | Individual |
| Full Name | LISA M CORAM |
| Credential | DO |
| Practice Address |
2300 Haggerty Rd Ste 2160 West Bloomfield MI 48323-2192 |
| Practice Telephone | 2488592457 |
| Practice Fax Number | 2488592473 |
| Mailing Telephone | 2488592457 |
| Mailing Fax Number | 2488592473 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5101020468 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2300 HAGGERTY RD STE 2160 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279893 | Dayna Race Fabrey | Registered Nurse | 2300 Haggerty Rd Ste 2160, West Bloomfield, MI 48323-2192 | 2019-11-07 |
| 1033750104 | Nelly Q Tester | Registered Nurse | 2300 Haggerty Rd Ste 2160, West Bloomfield, MI 48323-2192 | 2019-09-30 |
| 1659831790 | Stephanie Bednar | Registered Nurse | 2300 Haggerty Rd Ste 2160, West Bloomfield, MI 48323-2192 | 2019-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| 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 |
|---|---|---|---|---|
| 1114524428 | Clarity Behavioral Health Pllc | Psychiatry & Neurology | 7154 Merrybrook, West Bloomfield, MI 48322-4066 | 2020-10-08 |
| 1922646538 | Sylvia Hanson Md Pllc | Psychiatry & Neurology | 6461 Golden Ln, West Bloomfield, MI 48322-3096 | 2019-12-13 |
| 1740823129 | Tms Wellness Clinic of Michigan Pllc | Psychiatry & Neurology | 5757 W Maple Rd Ste 800-b, West Bloomfield, MI 48322-2277 | 2019-10-18 |
| 1790332096 | Progressive Wellness Clinic Pllc | Psychiatry & Neurology | 5757 W Maple Rd, West Bloomfield, MI 48322-2277 | 2019-08-21 |
| 1376010140 | West Bloomfield Psychiatric Services Pllc | Psychiatry & Neurology | 5800 Naneva Ct, West Bloomfield, MI 48322-2516 | 2018-10-30 |
| 1194063057 | Channing Lipson | Psychiatry & Neurology | 2095 Bordeaux St, West Bloomfield, MI 48323-3012 | 2013-01-27 |
| 1144546656 | Luay Haddad Md PC | Psychiatry & Neurology | 5575 Haverhill, West Bloomfield, MI 48322-4010 | 2010-04-09 |
| 1215266317 | David Ithamar Levadi | Psychiatry & Neurology | 4381 Somerville Dr, West Bloomfield, MI 48323-2765 | 2009-12-18 |
| 1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
| 1275773657 | Roger T. Chan | Psychiatry & Neurology | 4755 Mada Ct, West Bloomfield, MI 48322-2229 | 2009-02-25 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
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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.