DR. LOUISE ANNE WELLER (NPI# 1396786349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396786349 |
| Entity Type | Individual |
| Full Name | DR. LOUISE ANNE WELLER |
| Credential | PHD |
| Practice Address |
409 Plymouth Rd Suite 150 Plymouth MI 48170-1497 |
| Practice Telephone | 2485137280 |
| Practice Fax Number | 7344558909 |
| Mailing Telephone | 2485137280 |
| Mailing Fax Number | 7344558909 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
016136-1 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016196 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE TO PRACTICE AS PSYCHOLOGIST | 6301016196 | 01 |
| NY | PSYCHOLOGIST STATE LICENS | 016136 | 01 |
| Street Address |
409 PLYMOUTH RD SUITE 150 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518945823 | Classic Private Care & Consulting Services | Home Health | 409 Plymouth Rd, Suite 195, Plymouth, MI 48170-1497 | 2006-01-06 |
| 1538602784 | Mccaskill Family Services | Counselor | 409 Plymouth Rd, Suite 250, Plymouth, MI 48170-1497 | 2016-11-21 |
| 1215315932 | Mccaskill Family Services | Psychologist | 409 Plymouth Rd, Suite 250, Plymouth, MI 48170-1497 | 2015-05-14 |
| 1720324908 | Michelle Renae Byrd | Psychologist | 409 Plymouth Rd, Suite 250, Plymouth, MI 48170-1497 | 2012-12-17 |
| 1124329222 | Ryan Lou Delvecchio | Counselor | 409 Plymouth Rd, Suite 100, Plymouth, MI 48170-1497 | 2010-11-06 |
| 1215166632 | Tara Reed | Psychologist | 409 Plymouth Rd, # 100, Plymouth, MI 48170-1497 | 2009-07-07 |
| 1215114095 | Richard Thomas Janka | Psychologist | 409 Plymouth Rd, Suite 100, Plymouth, MI 48170-1497 | 2008-01-24 |
| 1063519601 | Cynthia Barnwell | Social Worker | 409 Plymouth Rd, Ste 190, Plymouth, MI 48170-1493 | 2006-09-17 |
| 1013921857 | Andrea E Nowak | Psychiatry & Neurology | 409 Plymouth Rd, Suite 126, Plymouth, MI 48170-1497 | 2006-07-28 |
| 1962423301 | Susan Lynn Parker | Psychologist | 409 Plymouth Rd, Suite #125, Plymouth, MI 48170-1497 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264760 | Tasha Leno | Psychologist | 595 Forest Ave Ste 7a, Plymouth, MI 48170-1777 | 2018-08-10 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1952891038 | Charles Francis Carroll | Psychologist | 17 Alvin Rd, Plymouth, MA 02360-3920 | 2018-05-15 |
| 1861914863 | Steven Schwartz | Psychologist | 12431 Howland Park Dr, Plymouth, MI 48170-2894 | 2017-07-11 |
| 1366827016 | Juliann Knochel | Psychologist | 42325 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2015-07-23 |
| 1851781959 | Stephen Mangin | Psychologist | 42245 Ann Arbor Rd E Ste 101, Plymouth, MI 48170-4311 | 2015-01-27 |
| 1649683517 | Heather M Delcourt | Psychologist | 595 Forest Ave Ste 11a, Plymouth, MI 48170-1777 | 2014-06-08 |
| 1952730723 | Amanda Michelle Henderson Bills | Psychologist | 199 N Main St Ste 200, Plymouth, MI 48170-1286 | 2013-11-02 |
| 1255779492 | Heather D Haggerty | Psychologist | 340 N Main St Ste 201, Plymouth, MI 48170-1290 | 2013-06-10 |
| 1164705471 | Ruth C. Rowbotham | Psychologist | 225 Water St Ste A115, Plymouth, MA 02360-4060 | 2011-09-22 |
| Find all providers in PLYMOUTH | ||||
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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.