JOHN H TRASK (NPI# 1417924200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417924200 |
| Entity Type | Individual |
| Full Name | JOHN H TRASK |
| Credential | PH.D. |
| Practice Address |
650 E Big Beaver Rd Suite A Troy MI 48083-1432 |
| Practice Telephone | 2486894600 |
| Practice Fax Number | 2485191201 |
| Mailing Telephone | 2486894600 |
| Mailing Fax Number | 2485191201 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301007751 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD MI | 68-0-F3-2859-0 | 01 |
| NPPES | 1164693362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922086420 | John D. Trask | Preventive Medicine | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2006-01-04 |
| Street Address |
650 E BIG BEAVER RD SUITE A |
| City | TROY |
| State | MI |
| Zip Code | 48083-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508420811 | Heather Lafollette, Ms, Ma, Lpc, LLC | Counselor | 650 E Big Beaver Rd, Troy, MI 48083-1432 | 2019-04-23 |
| 1912241795 | Kelly M. Giera, D.d.s., P.C. | Dentist | 650 E Big Beaver Rd, Suite D, Troy, MI 48083-1432 | 2012-11-19 |
| 1861753840 | Asian Mental Health | Community/Behavioral Health | 650 E Big Beaver Rd, Suite A, Troy, MI 48083-1432 | 2012-06-06 |
| 1528377264 | Lisa F Marrocca PC | Psychologist | 650 E Big Beaver Rd, Suite A, Troy, MI 48083-1432 | 2010-09-29 |
| 1851623078 | David S. Huang Ma PC | Community/Behavioral Health | 650 E Big Beaver Rd, Suite A, Troy, MI 48083-1432 | 2010-02-13 |
| 1104061464 | Rosalie Craft | Counselor | 650 E Big Beaver Rd, Suite A, Troy, MI 48083-1432 | 2008-12-15 |
| 1164693362 | John H. Trask, Ph.d. Pllc | Community/Behavioral Health | 650 E Big Beaver Rd, Suite A, Troy, MI 48083-1432 | 2008-03-14 |
| 1952502247 | Connie Marie Wood | Psychologist | 650 E Big Beaver Rd, Suite A, Troy, MI 48083-1432 | 2007-05-31 |
| 1134278302 | Kelly M Giera | Dentist | 650 E Big Beaver Rd, Suite D, Troy, MI 48083-1432 | 2007-01-09 |
| 1811947682 | Lisa Frances Marrocca | Psychologist | 650 E Big Beaver Rd, Suite A, Troy, MI 48083-1432 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549233 | Amelia Amin | Psychologist | 2855 Coolidge Hwy Ste 101, Troy, MI 48084-3215 | 2020-08-20 |
| 1316336506 | Krystle Charon Woods | Psychologist | 800 Stephenson Hwy Ste 250, Troy, MI 48083-1106 | 2015-01-12 |
| 1336409804 | Jenni Knowles, Ph.d., Lp, LLC | Psychologist | 200 E Big Beaver Rd # 116, Troy, MI 48083-1208 | 2012-05-18 |
| 1649550005 | Huilan Zhang | Psychologist | 2073 E Maple Rd, Troy, MI 48083-4493 | 2011-08-17 |
| 1205065182 | Shari Slebodnik | Psychologist | 1700 W Big Beaver Rd Ste 200, Troy, MI 48084-3524 | 2009-07-13 |
| 1134384274 | Rosalynn Marie Moten | Psychologist | 2215 Golfview Dr, Apt 202, Troy, MI 48084-3919 | 2008-07-28 |
| 1235323973 | Sarah Maxwell Gates | Psychologist | 122 Elmira Street, Suite B, Troy, PA 16947 | 2007-09-05 |
| 1043418098 | Warren Behavioral Care, Inc | Psychologist | 889 Elba Hwy, Troy, AL 36079-6017 | 2007-07-10 |
| 1225231160 | Christine Delange | Psychologist | 1700 W Big Beaver Rd, Suite 200, Troy, MI 48084-3530 | 2007-06-07 |
| 1912112657 | Edith Boswell | Psychologist | 2014 Laurel Dr, Troy, MI 48085-3821 | 2007-05-14 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on JOHN H TRASK.
| 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.