SARA VANDENBERG (NPI# 1326356676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326356676 |
| Entity Type | Individual |
| Full Name | SARA VANDENBERG |
| Credential | TLLP |
| Practice Address |
11270 E 13 Mile Rd Warren MI 48093-2599 |
| Mailing Address |
20516 Alexander St Saint Clair Shores MI 48081-1783 |
| Practice Telephone | 5867389320 |
| Practice Fax Number | 5867513201 |
| Mailing Telephone | 2484173783 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301014689 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437588688 | Sara Vandenberg | Physical Therapist | 1221 E 16th St, Holland, MI 49423-9127 | 2013-11-08 |
| Street Address |
11270 E 13 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281997 | Donald A Campbell Jr. | Family Medicine | 11270 E 13 Mile Rd, Suite 4, Warren, MI 48093-2599 | 2005-08-09 |
| 1518490564 | Shena Marie Riddle | Social Worker | 11270 E 13 Mile Rd, Ste 200, Warren, MI 48093-2599 | 2017-04-06 |
| 1518318153 | Salvatore Russo | Counselor | 11270 E 13 Mile Rd, Warren, MI 48093-2599 | 2016-06-24 |
| 1265882724 | Paige Rochelle Lewen | Social Worker | 11270 E 13 Mile Rd, Warren, MI 48093 | 2016-06-15 |
| 1154793750 | Hannah Van Allen | Nurse Practitioner | 11270 E 13 Mile Rd, Suite 4, Warren, MI 48093-2599 | 2015-10-22 |
| 1801131917 | Matthew Baron | Counselor | 11270 E 13 Mile Rd, Warren, MI 48093 | 2012-11-29 |
| 1568638609 | Stuart L Davidson D D S P C | Dentist | 11270 E 13 Mile Rd, Suite 3a, Warren, MI 48093-2599 | 2008-05-07 |
| 1831223767 | Jacqueline Kupper | Social Worker | 11270 E 13 Mile Rd, Warren, MI 48093-2599 | 2007-03-15 |
| 1023154101 | Gregory Scott Apsey | Dentist | 11270 E 13 Mile Rd, Suite #1a, Warren, MI 48093-2599 | 2007-01-29 |
| 1649238817 | Kristen Foley Panozzo | Family Medicine | 11270 E 13 Mile Rd, Suite 4, Warren, MI 48093-2599 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1467061879 | Katrine Kirk | Psychologist | 334 Roxbury Mountain Road, Warren, VT 05674 | 2020-07-31 |
| 1578184131 | Transcend Psychological Services, P.l.l.c | Psychologist | 28767 Ryan Rd, Warren, MI 48092-2518 | 2020-05-05 |
| 1245733195 | Martha A Torres | Psychologist | 112 Town Center Dr, Warren, NJ 07059-2650 | 2018-03-16 |
| 1366805368 | Adam Cole Lorincz | Psychologist | 28871 Aline Dr, Warren, MI 48093-2690 | 2016-03-29 |
| 1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
| 1427365964 | Beatrice Schwarzkopf | Psychologist | 100 Old Stirling Rd, Warren, NJ 07059-5819 | 2010-09-03 |
| 1205160934 | Gerald E Poirier | Psychologist | 11022 Sunburst Ave, Warren, MI 48089-1040 | 2009-09-29 |
| 1427294255 | Tammy Dorraine Hays | Psychologist | 590 County Road 4810, Warren, TX 77664-6494 | 2008-12-29 |
| 1538351051 | Kenneth Axelrad | Psychologist | 27472 Schoenherr Rd Ste 105, Warren, MI 48088-6687 | 2007-08-17 |
| 1770797086 | Ronald Raymond Zelazowski | Psychologist | 315 Second Avenue, Ste 209, Warren, PA 16365-2434 | 2007-05-09 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on SARA VANDENBERG.
| 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.