DR. AMY J CHARNESS


Address: 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830
Phone: 3133593161

DR. AMY J CHARNESS (NPI# 1295898112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295898112
Entity Type Individual
Full Name DR. AMY J CHARNESS
Other Name AMY J TRABITZ
Credential PH.D.
Practice Address 23810 Michigan Ave
Suite 202b
Dearborn
MI 48124-1830
Practice Telephone 3133593161
Practice Fax Number 3133594811
Mailing Telephone 3133593161
Mailing Fax Number 3133594811
Enumeration Date 2006-12-19
Last Update Date 2013-10-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
6301006103 MI Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
6301006103 MI Behavioral Health & Social Service Providers

Office Location

Street Address 23810 MICHIGAN AVE
SUITE 202B
City DEARBORN
State MI
Zip Code 48124-1830

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093353542 Majida Elkadri Social Worker 23810 Michigan Ave, Dearborn, MI 48124-1830 2019-12-16
1568860898 The Symmetry Group, LLC Social Worker 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 2014-12-19
1598160582 Alana Marie Cole Psychologist 23810 Michigan Ave, Suite 202, Dearborn, MI 48124-1830 2014-11-03
1851706584 Nicole Stratton Psychologist 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 2014-06-20
1700209855 Ayanna E Harris Counselor 23810 Michigan Ave, Suite 202a, Dearborn, MI 48124-1830 2014-01-26
1215368493 Kyana Magee-houston Counselor 23810 Michigan Ave, Dearborn, MI 48124-1830 2013-12-12
1548690704 Dianne M Goetsch Psychologist 23810 Michigan Ave, Suite 202, Dearborn, MI 48124-1830 2013-11-25
1821327222 Amy J. Trabitz, Ph.d., P.C. Clinic/Center 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 2009-12-14
1417108929 Irene Garza Social Worker 23810 Michigan Ave, Dearborn, MI 48124-1830 2008-10-02
1508026006 Pamela Czuj Social Worker 23810 Michigan Ave, Dearborn, MI 48124-1830 2008-06-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598160582 Alana Marie Cole Psychologist 23810 Michigan Ave, Suite 202, Dearborn, MI 48124-1830 2014-11-03

Providers in the same taxonomy and state

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
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Competitor

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City DEARBORN
Zip Code 48124

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Dataset Information

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.

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