HEATHER O'BOYLE


Address: 18635 Bowie St, Southgate, MI 48195-2805
Phone: 7347857705

HEATHER O'BOYLE (NPI# 1437527066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437527066
Entity Type Individual
Full Name HEATHER O'BOYLE
Practice Address 18635 Bowie St
Southgate
MI 48195-2805
Mailing Address 31521 Saint Margaret St.
Saint Clair Shores
MI 48082
Practice Telephone 7347857705
Enumeration Date 2015-09-14
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301017086 MI Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
19275 Northline Rd, Southgate, MI 481952220 7347857700

Office Location

Street Address 18635 BOWIE ST
City SOUTHGATE
State MI
Zip Code 48195-2805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982933925 Dana Marie Toth Psychologist 18635 Bowie St, Southgate, MI 48195-2805 2009-12-22
1972142875 Alejandra Nayeli Quiroz Zamarripa Behavior Technician 18635 Bowie St, Southgate, MI 48195-2805 2019-12-26
1184262933 Sapna Atwal Behavior Technician 18635 Bowie St, Southgate, MI 48195-2805 2019-12-11
1861041154 Amy E Knapp Assistant Behavior Analyst 18635 Bowie St, Southgate, MI 48195-2805 2019-09-09
1063069615 Nicole Marie Desana Behavior Technician 18635 Bowie St, Southgate, MI 48195-2805 2019-08-19
1548824378 Kertina Lynese Kimbrough Counselor 18635 Bowie St, Southgate, MI 48195-2805 2019-04-26
1396252615 Molly Cronin Mcmahon Social Worker 18635 Bowie St, Southgate, MI 48195-2805 2018-01-09
1619407905 Samantha Fleury Behavior Technician 18635 Bowie St, Southgate, MI 48195-2805 2017-06-19
1093244782 Stanley Shane Mackey IIi Technician, Other 18635 Bowie St, Southgate, MI 48195-2805 2017-06-07
1275061483 Rhiannon Rynicki-wilder Technician, Other 18635 Bowie St, Southgate, MI 48195-2805 2017-06-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206656 Destiny D Harris Social Worker 14799, Southgate, MI 48195 2020-05-13
1285102368 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 16256 Fort St, Southgate, MI 48195 2018-11-07
1003382979 Saran Charisse Watts Case Manager/Care Coordinator 31101 Allen Rd, Building 5, Southgate, MI 48195 2018-10-18
1255824025 Kiesta Janell Lindsey Social Worker 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 2018-06-07
1417473224 Suzette Michele Watson Nurse Practitioner 14319 Dix-toledo, Southgate, MI 48195 2017-08-15
1275069486 Liza Du Plessis Student in an Organized Health Care Education/Training Program 13111 Allen Road, Southgate, MI 48195 2017-05-08
1497290456 Beaumont Health Clinic/Center 15777 Northline, Southgate, MI 48195 2016-12-30
1184172876 Felicia Wilson Licensed Practical Nurse 15771 Wildemere, Southgate, MI 48195 2016-09-12
1225487978 Stacey Petrick-strickland Technician, Other 12189 Agnes, Southgate, MI 48195 2016-06-03
1205298486 Ashley Francis Hearing Instrument Specialist 18800 Eureka Rd., Southgate, MICHIGAN 48195 2016-03-25
Find all providers in zip 48195

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982933925 Dana Marie Toth Psychologist 18635 Bowie St, Southgate, MI 48195-2805 2009-12-22
1891981775 Christine Jo Hergren Psychologist 15306 Helen St, Southgate, MI 48195-2068 2007-09-24
1376662247 Thomas Coleman Pearson IIi Psychologist 13101 Allen Rd Ste 400, Southgate, MI 48195-2216 2007-03-29
1568552347 Carole M Rowland Psychologist 12880 Northline Rd, Southgate, MI 48195-1110 2006-10-13
1245843770 Amy E. Pike Psychologist 19275 Northline Rd Bldg 7, Southgate, MI 48195-2220 2020-08-25
1851934905 Jasmyn Findley Psychologist 13101 Allen Rd, Southgate, MI 48195-2216 2019-10-22
1437715174 John Angelo Macari Psychologist 1 Heritage Dr Ste 520, Southgate, MI 48195-3051 2019-05-17
1871924365 Holly Townsend Zugcic Psychologist 13101 Allen Rd, Southgate, MI 48195-2216 2013-12-09
1861832123 Hannah Katherine Walters Psychologist 13101 Allen Rd, Southgate, MI 48195-2216 2013-07-02
1528403425 Debbra Josephine Snyder Psychologist 13101 Allen Rd, Southgate, MI 48195-2216 2013-05-06
Find all providers in SOUTHGATE

Competitor

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City SOUTHGATE
Zip Code 48195

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Dataset Information

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.

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