DR. CARISSA LAURA GADEN (NPI# 1306927603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306927603 |
| Entity Type | Individual |
| Full Name | DR. CARISSA LAURA GADEN |
| Credential | PH.D. |
| Practice Address |
20816 E 11 Mile Rd Suite 115 Saint Clair Shores MI 48081-1565 |
| Practice Telephone | 5867729390 |
| Practice Fax Number | 5867729390 |
| Mailing Telephone | 5867729390 |
| Mailing Fax Number | 5867729390 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
L745441 | MI | Behavioral Health & Social Service Providers |
| Street Address |
20816 E 11 MILE RD SUITE 115 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649625823 | Sara Rian Marino | Social Worker | 20816 E 11 Mile Rd, Saint Clair Shores, MI 48081-1565 | 2016-04-26 |
| 1518385715 | Beatrice Tyus | Counselor | 20816 E 11 Mile Rd, Suite 101, Saint Clair Shores, MI 48081-1565 | 2014-04-03 |
| 1700181211 | Tracey Torosian, Ph.d., Pllc | Clinic/Center | 20816 E 11 Mile Rd, Suite 112, Saint Clair Shores, MI 48081-1565 | 2011-01-13 |
| 1043514250 | Maria Pappas | Social Worker | 20816 E 11 Mile Rd, Suite 107, Saint Clair Shores, MI 48081-1565 | 2011-01-03 |
| 1639349657 | Creative Psychology Center Inc. | Social Worker | 20816 E 11 Mile Rd, Suite #113, Saint Clair Shores, MI 48081-1565 | 2008-03-05 |
| 1023239662 | Keith Duncan Russell | Social Worker | 20816 E 11 Mile Rd, Suite 113, Saint Clair Shores, MI 48081-1565 | 2007-05-01 |
| 1982820957 | Carissa Gaden, Ph.d., P.C. | Psychologist | 20816 E 11 Mile Rd, Suite 115, Saint Clair Shores, MI 48081-1565 | 2007-04-18 |
| 1962531335 | Tracey Torosian | Psychologist | 20816 E 11 Mile Rd, Suite 112, Saint Clair Shores, MI 48081-1565 | 2007-03-03 |
| 1093868093 | Harry Edward Capps | Psychologist | 20816 E 11 Mile Rd, Suite 108, Saint Clair Shores, MI 48081-1565 | 2007-01-21 |
| 1710030721 | Capps Assessment Psychological & Psycho-educational Services, Plc | Psychologist | 20816 E 11 Mile Rd, Suite 108, Saint Clair Shores, MI 48081-1565 | 2007-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1104066679 | Jeffrey Degroat Phd Pllc | Psychologist | 21929 E 9 Mile Rd, Saint Clair Shores, MI 48080-2906 | 2009-02-24 |
| 1255546172 | Sheabra Lynn Simpson | Psychologist | 19718 Sussex St, Saint Clair Shores, MI 48081-1020 | 2007-05-14 |
| 1912946971 | Jeffrey Scott Degroat | Psychologist | 19900 E 10 Mile Rd, Suite 102, Saint Clair Shores, MI 48080-4412 | 2006-06-05 |
| 1811549140 | Danielle Marie Zouhrob | Psychologist | 23995 Greater Mack Ave, Saint Clair Shores, MI 48080-1417 | 2019-07-16 |
| 1326547456 | Better Together Counseling, LLC | Psychologist | 20816 E 11 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1578 | 2018-02-05 |
| 1467744078 | Michael Alan Young | Psychologist | 22811 Greater Mack Ave, Suite 104, Saint Clair Shores, MI 48080-2021 | 2011-05-15 |
| 1043512452 | Aleksandra Stoklosa | Psychologist | 27941 Harper Ave, Saint Clair Shores, MI 48081-1535 | 2010-11-18 |
| 1801102744 | Michigan Psychological, P.C. | Psychologist | 27941 Harper Ave, Suite 105, Saint Clair Shores, MI 48081-1535 | 2010-08-30 |
| 1144456633 | John A Ryan Phd PC | Psychologist | 22811 Mack Ave, Suite L3, Saint Clair Shores, MI 48080-2021 | 2009-06-10 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on DR. CARISSA LAURA GADEN.
| 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.