WILLIAM C IRVING PHD PLLC (NPI# 1265603716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265603716 |
| Entity Type | Organization |
| Organization Name | WILLIAM C IRVING PHD PLLC |
| Practice Address |
22811 Greater Mack Ave Suite 202 Saint Clair Shores MI 48080-2021 |
| Practice Telephone | 5864434402 |
| Practice Fax Number | 5864434412 |
| Mailing Telephone | 5864434402 |
| Mailing Fax Number | 5864434412 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | MS. JUDY I. (OFFICE MANAGER) |
| Authorized Official Telephone | 5864434402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
22811 GREATER MACK AVE SUITE 202 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573821 | Belinda Aliahmad | Social Worker | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2019-08-18 |
| 1467946087 | Christine Kuhl | Psychologist | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2018-06-18 |
| 1700334901 | Arlene Garma-maceachran | Social Worker | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2016-09-15 |
| 1154879450 | Brandi Mckenzie | Social Worker | 22811 Greater Mack Ave, Suit 111, Saint Clair Shores, MI 48080-2021 | 2016-09-14 |
| 1437607736 | Dina Chaaban | Social Worker | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2016-09-14 |
| 1750763512 | David Jacobs | Dentist | 22811 Greater Mack Ave, Suite L-10, Saint Clair Shores, MI 48080-2021 | 2015-06-29 |
| 1962890798 | Kristen Salem | Counselor | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2015-01-01 |
| 1316344971 | Anna Skardoutos | Counselor | 22811 Greater Mack Ave, Ste. L2, Saint Clair Shores, MI 48080-2021 | 2014-11-25 |
| 1730509993 | H3 - Hope Healing & Health Inc | Social Worker | 22811 Greater Mack Ave, Ste. 111, Saint Clair Shores, MI 48080-2021 | 2014-04-25 |
| 1275958118 | Nutrition Balance LLC | Clinic/Center | 22811 Greater Mack Ave, Suite 105, Saint Clair Shores, MI 48080-2021 | 2014-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184251 | Think To Thrive Psychological Services Pllc | Psychologist | 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 | 2020-11-03 |
| 1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
| 1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
| 1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
| 1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
| 1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.