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).
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 |
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 |
Street Address |
23810 MICHIGAN AVE SUITE 202B |
City | DEARBORN |
State | MI |
Zip Code | 48124-1830 |
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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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 |
Find all providers in zip 48124 |
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 |
---|---|---|---|---|
1598160582 | Alana Marie Cole | Psychologist | 23810 Michigan Ave, Suite 202, Dearborn, MI 48124-1830 | 2014-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
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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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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.