MRS. BETHANY A HALL (NPI# 1285231266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285231266 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY A HALL |
| Credential | TLLP |
| Practice Address |
6060 Dixie Hwy Ste H Clarkston MI 48346-3476 |
| Mailing Address |
730 S Dayton St Davison MI 48423-1716 |
| Practice Telephone | 2482705395 |
| Mailing Telephone | 8103333860 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6362009122 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174023147 | Bethany Sarah Hall | Licensed Vocational Nurse | 3212 Hastings St, Mesquite, TX 75149-1853 | 2018-02-16 |
| 1124577739 | Bethany Abb Hall | Occupational Therapist | 1178 Hillside Lane, Lenoir City, TN 37771-8482 | 2016-09-23 |
| 1871814848 | Bethany S Hall | Nurse Practitioner | 3136 Bannockburn Dr Se, Ada, MI 49301-9370 | 2010-06-14 |
| 1639599541 | Bethany Marie Hall | Pediatrics | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-04-17 |
| 1568793743 | Bethany Hall | Social Worker | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2010-01-27 |
| 1235243932 | Bethany Hall | Pediatrics | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2006-08-18 |
| Street Address |
6060 DIXIE HWY STE H |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-3476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146720 | Jessica Leigh Teeples | Psychologist | 6060 Dixie Hwy Ste H, Clarkston, MI 48346-3476 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| 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 |
|---|---|---|---|---|
| 1649693243 | Paul Vanheulen I | Psychologist | 6469 Snow Apple Dr, Clarkston, MI 48346-2455 | 2014-02-03 |
| 1497091565 | Eric E Craig | Psychologist | 132 S River Dr, Clarkston, MI 48346-4151 | 2012-12-18 |
| 1316178049 | Chanda Lynne Pilgrim | Psychologist | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2009-07-29 |
| 1760673909 | Karen Marie Rusniak | Psychologist | 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346-5105 | 2007-08-05 |
| 1700999018 | Beverly Hartman | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2006-08-17 |
| 1922035286 | Joseph C. Shoots | Psychologist | 6548 Town Center Dr, Clarkston, MI 48346-4823 | 2006-06-26 |
| 1679553028 | John C Scharfenkamp | Psychologist | 8010 Deerwood Rd, Clarkston, MI 48348-4526 | 2006-01-20 |
| 1639617426 | Chelsea Kneip | Psychologist | 6548 Town Center Dr, Suite D, Clarkston, MI 48346-4823 | 2017-02-01 |
| 1356893812 | Kara Herrick | Psychologist | 6548 Town Center Dr, Clarkston, MI 48346-4823 | 2016-11-01 |
| 1316307424 | Priscilla Zoma | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2016-03-02 |
| Find all providers in CLARKSTON | ||||
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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.