MS. TRACY LYNN WEITZMAN (NPI# 1295006260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295006260 |
| Entity Type | Individual |
| Full Name | MS. TRACY LYNN WEITZMAN |
| Credential | MA TLLP |
| Practice Address |
20300 Civic Center Dr Ste. 303 Southfield MI 48076-4105 |
| Mailing Address |
20300 Civic Center Dr. Ste. 3030 Southfield MI 48076-4169 |
| Practice Telephone | 2485598190 |
| Practice Fax Number | 2485598776 |
| Mailing Telephone | 2485598190 |
| Mailing Fax Number | 2485598776 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | L2082501 | MI | Behavioral Health & Social Service Providers |
| Street Address |
20300 CIVIC CENTER DR STE. 303 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703171 | Patricia Helene Meyer | Counselor | 20300 Civic Center Dr, Suite 100, Southfield, MI 48076-4105 | 2006-03-08 |
| 1609133289 | Rebecca Lynn Hurwitz | Social Worker | 20300 Civic Center Dr, Suite 100, Southfield, MI 48076-4105 | 2012-04-19 |
| 1427323070 | Amal Ayad | Psychologist | 20300 Civic Center Dr, Suite#318, Southfield, MI 48076-4105 | 2012-03-15 |
| 1366731879 | Tri-care PC. Dba Northland Clinic | Social Worker | 20300 Civic Center Dr, Ste. 303, Southfield, MI 48076-4105 | 2011-04-05 |
| 1336445675 | Jeffrey M Last Phd Pllc | Clinic/Center | 20300 Civic Center Dr, Suite 303, Southfield, MI 48076-4105 | 2011-02-03 |
| 1508195900 | Diane J Grzech | Social Worker | 20300 Civic Center Dr, Suite 100, Southfield, MI 48076-4105 | 2009-12-14 |
| 1265760003 | Cynthia Hovland-scafe | Social Worker | 20300 Civic Center Dr, Southfield, MI 48076-4105 | 2009-12-04 |
| 1972831063 | Kate Marie Pierce | Social Worker | 20300 Civic Center Dr, Suite 100, Southfield, MI 48076-4105 | 2009-12-01 |
| 1588991251 | Rebecca Vlasic | Psychologist | 20300 Civic Center Dr, Southfield, MI 48076-4105 | 2009-11-17 |
| 1467787986 | Karen Mary Konja | Social Worker | 20300 Civic Center Dr, Southfield, MI 48076-4105 | 2009-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| 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 |
|---|---|---|---|---|
| 1093299711 | Little Charmers LLC | Psychologist | 24100 Southfield Rd Ste 110, Southfield, MI 48075-2850 | 2018-09-18 |
| 1871096248 | Evans & Associates Psychological and Counseling Services | Psychologist | 24100 Southfield Rd Ste 320a, Southfield, MI 48075-2819 | 2018-03-13 |
| 1699130195 | Robin Elaine Mccoy | Psychologist | 16000 W 9 Mile Rd Ste 200, Southfield, MI 48075-4808 | 2015-12-28 |
| 1700261989 | Kathryn Therese Combs | Psychologist | 29500 Southfield Rd Ste 100, Southfield, MI 48076 | 2015-07-29 |
| 1992196794 | Markie Silverman | Psychologist | 29228 Rock Creek Dr, Southfield, MI 48076-1831 | 2015-02-16 |
| 1114315645 | William Gurney | Psychologist | 22022 Indian St, Southfield, MI 48033-5022 | 2015-01-06 |
| 1033527338 | Dante Demitrius Dixson | Psychologist | 16250 Northland Dr Ste 204, Southfield, MI 48075-5226 | 2014-07-30 |
| 1497182828 | Atara Abramsky | Psychologist | 17240 W 10 Mile Rd, Southfield, MI 48075-2949 | 2013-09-30 |
| 1124365341 | Prestige Behavioral Therapy Development Center LLC | Psychologist | 28249 Bell Rd, Southfield, MI 48034 | 2013-01-08 |
| 1902142821 | Robyn Elana Glickman | Psychologist | 21395 Glenmorra St, Southfield, MI 48076-6016 | 2012-12-20 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.