MR. TODD JOHN NADEAU (NPI# 1255595914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255595914 |
| Entity Type | Individual |
| Full Name | MR. TODD JOHN NADEAU |
| Credential | M.A., LLP |
| Practice Address |
9287 Silverside South Lyon MI 48178-9316 |
| Practice Telephone | 5867640637 |
| Practice Fax Number | 8106950343 |
| Mailing Telephone | 5867640637 |
| Mailing Fax Number | 8106950343 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 6301009306 | MI | Behavioral Health & Social Service Providers |
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
6301009306 | MI | Behavioral Health & Social Service Providers |
| Street Address |
9287 SILVERSIDE |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891950895 | Performance Psychology | Community/Behavioral Health | 9287 Silverside, South Lyon, MI 48178-9316 | 2008-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1043633191 | Kwonsoo Kenneth Kim | Anesthesiology | 8854 Stoney Creek Dr., South Lyon, MI 48178 | 2014-01-27 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353476 | Myschelle Kelly | Psychologist | 1268 W Clark Rd Apt I2, Dewitt, MI 48820-9089 | 2019-12-16 |
| 1427576263 | Diana Lynn Springstead | Psychologist | 1160 Ransom St, Muskegon, MI 49442-3322 | 2017-08-31 |
| 1841227659 | Catharine Marie Kaneti | Psychologist | 235 Wealthy Street Se, Mary Free Bed Hospital, Grand Rapids, MI 49503-5299 | 2006-06-27 |
| 1740246339 | Jacobus Am Donders | Psychologist | 235 Wealthy Se, Grand Rapids, MI 49503 | 2006-04-24 |
| 1750347332 | Juliet Maria Coscia | Psychologist | 235 Wealthy Ave Se, Department of Psychology, Grand Rapids, MI 49503-5299 | 2006-04-24 |
| 1669829230 | Roger Lynn Erickson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2016-05-24 |
| 1801139134 | Kelly Jean Savage | Psychologist | 1350 E West Maple Rd, Suite 2, Walled Lake, MI 48390-3727 | 2013-04-04 |
| 1891037735 | Aspire Rehabilitation Services, LLC | Psychologist | 1000 John R Rd Ste 211, Troy, MI 48083-4317 | 2013-03-18 |
| 1235423104 | Kathryn Wilson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2011-06-08 |
| 1164744181 | Innovative Rehabilitation Systems, Inc | Psychologist | 525 E Big Beaver Rd, Suite 203, Troy, MI 48083-1364 | 2010-02-17 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
Please comment or provide details below to improve the information on MR. TODD JOHN NADEAU.
| 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.