DEBORAH A BASTEDO (NPI# 1245259548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245259548 |
| Entity Type | Individual |
| Full Name | DEBORAH A BASTEDO |
| Credential | LLP, LPC, NCC |
| Practice Address |
52188 Van Dyke Ave Ste 300 Shelby Township MI 48316-3567 |
| Mailing Address |
1069 Pelham Blvd Waterford MI 48328-4262 |
| Practice Telephone | 5868031583 |
| Practice Fax Number | 2486827486 |
| Mailing Telephone | 2487873916 |
| Mailing Fax Number | 2486827486 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301011762 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MHN | 287751 | 01 |
| MI | TRICARE | 2544866D1A | 01 |
| Street Address |
52188 VAN DYKE AVE STE 300 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48316-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962499764 | Roy Joseph Picard | Chiropractor | 52188 Van Dyke Ave, Suite 312, Shelby Township, MI 48316-3567 | 2005-10-05 |
| 1144647892 | Shelby Counseling, Inc. | Psychologist | 52188 Van Dyke Ave, Suite 320, Shelby Township, MI 48316-3567 | 2014-03-19 |
| 1164855417 | Terry Jean Parrish | Counselor | 52188 Van Dyke Ave, 103 and 104, Shelby Township, MI 48316-3567 | 2013-08-09 |
| 1477794659 | Dr. James Weintraub, Pllc | Psychiatry & Neurology | 52188 Van Dyke Ave, Suite 212, Shelby Township, MI 48316-3567 | 2009-03-17 |
| 1871776534 | Melissa Michelle Engle | Counselor | 52188 Van Dyke Ave, Suite 300, Shelby Township, MI 48316-3567 | 2007-12-17 |
| 1740371442 | Lisa Michelle Irwin | Psychologist | 52188 Van Dyke Ave, Suite 320, Shelby Township, MI 48316-3567 | 2006-09-27 |
| 1457331696 | Teri Mitchel Hibbard | Psychologist | 52188 Van Dyke Ave, Suite #304, Shelby Township, MI 48316 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
| 1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
| 1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
| 1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
| 1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
| Find all providers in zip 48316 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811353972 | Sophie Griesbeck | Psychologist | 49970 White Mill Rd, Shelby Township, MI 48317 | 2016-01-05 |
| 1992869143 | Christina J. Isaacs | Psychologist | 13001 23 Mile Rd, Shelby Township, MI 48315-2767 | 2006-12-21 |
| 1023386398 | Eastwood Community Clinics | Psychologist | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2011-12-01 |
| 1164513198 | Leo M Szalma | Psychologist | 53950 Van Dyke Ave, Shelby Township, MI 48316 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48316 |
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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.