ALFRED MANSOUR (NPI# 1275876963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275876963 |
| Entity Type | Individual |
| Full Name | ALFRED MANSOUR |
| Credential | PHD |
| Practice Address |
5333 Mcauley Dr Ypsilanti MI 48197 |
| Mailing Address |
5333 Mcauley Dr Ypsilanti MI 48197-1014 |
| Practice Telephone | 7347124162 |
| Practice Fax Number | 7347125056 |
| Mailing Telephone | 7347124162 |
| Mailing Fax Number | 7347125056 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2018-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 6301014783 | MI | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301014783 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016060 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3960 Patient Care Dr Ste 104, Lansing, MI 489114292 | 5178879801 | 5178879826 |
| 7305 Grand River Rd Ste 300, Brighton, MI 481147378 | 8105886377 | 8103600023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006535 | Alfred A Mansour Jr. | Specialist | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3606 | 2005-07-08 |
| 1770630568 | Alfred Mansour IIi | Orthopaedic Surgery | 6400 Fannin Street, Suite 1700, Houston, TX 77030 | 2007-01-04 |
| Street Address |
5333 MCAULEY DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285378 | Thomas A Weimert | Otolaryngology | 5333 Mcauley Dr, Rm 2017, Ypsilanti, MI 48197-1096 | 2005-06-20 |
| 1780172809 | Meena Sahu | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Ypsilanti, MI 48197-1014 | 2018-04-24 |
| 1568996940 | Cydney Siggins | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-04-12 |
| 1205369725 | Kenneth John Buchanan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
| 1518491059 | Mahwish Hafeez | Internal Medicine | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
| 1124551791 | Emily Welker | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-10 |
| 1366975195 | Patrick D Suggs | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-08 |
| 1528591427 | Elizabeth Anne Henderson | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-06 |
| 1043742448 | Emily Eton | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-03 |
| 1740711126 | Kelsey Behan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356809131 | Rachel Reed | Psychologist | 4870 W Clark Rd Ste 106, Ypsilanti, MI 48197-1104 | 2019-03-11 |
| 1063922425 | Lauren Marie Ostarello | Psychologist | 207 N Summit St Apt 2, Ypsilanti, MI 48197-3178 | 2017-10-11 |
| 1275053571 | Rosie Mishelle Rodriguez | Psychologist | 124 Pearl St Ste 401, Ypsilanti, MI 48197-2663 | 2017-06-27 |
| 1285008995 | Cynthia Ransley | Psychologist | 308 Garland St, Ypsilanti, MI 48198-4008 | 2015-11-18 |
| 1598136624 | Adam Joy | Psychologist | 4870 W Clark Rd Ste 205, Ypsilanti, MI 48197-1104 | 2015-10-15 |
| 1992058440 | Brittany Nicole Knox | Psychologist | 120 N Huron St, Ypsilanti, MI 48197-2610 | 2012-10-22 |
| 1891070603 | Equanimity Partners, Inc. | Psychologist | 4007 Carpenter Rd., Ypsilanti, MI 48197-9644 | 2011-10-13 |
| 1588963813 | Meghan D Rowland | Psychologist | 4659 Hunt Club Dr, 1c, Ypsilanti, MI 48197-8882 | 2011-03-25 |
| 1306164561 | Tamara Marie Loverich | Psychologist | 4007 Carpenter Rd # 102, Ypsilanti, MI 48197-9644 | 2010-05-12 |
| 1275851875 | Thomas Joseph Waltz | Psychologist | 715 Cambridge St, Ypsilanti, MI 48197-2127 | 2010-05-07 |
| Find all providers in YPSILANTI | ||||
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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.