THEDOSHIA CARTER AFC#1 (NPI# 1447336573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447336573 |
| Entity Type | Organization |
| Organization Name | THEDOSHIA CARTER AFC#1 |
| Practice Address |
8505 Plymouth Rd Detroit MI 48204-1905 |
| Practice Telephone | 3139331956 |
| Practice Fax Number | 3139331956 |
| Mailing Telephone | 3139331956 |
| Mailing Fax Number | 3139331956 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. THEDOSHIA CARTER (PROVIDER) |
| Authorized Official Telephone | (313)9331956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
MI | Behavioral Health & Social Service Providers |
| Street Address |
8505 PLYMOUTH RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48204-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992897557 | Carter's Adult Care Facilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8505 Plymouth Rd, Detroit, MI 48204-1905 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
| 1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
| 1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
| 1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
| 1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
| 1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
| 1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
| Find all providers in zip 48204 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
| 1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
| 1841791019 | Anya Lettice Lewis | Psychologist | 8600 Woodward Ave, Detroit, MI 48202-2142 | 2018-02-23 |
| 1932508017 | Frank Tripi | Psychologist | 11000 W Mcnichols Rd, Detroit, MI 48221-2357 | 2014-08-14 |
| 1093114266 | Charles Vanauken | Psychologist | 11000 W Mcnichols Rd, Detroit, MI 48221-2357 | 2014-08-14 |
| 1932514528 | Janice Short | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2014-06-23 |
| 1699101337 | Sandra Mcclennen | Psychologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2013-09-25 |
| 1396966420 | Alice J. Schultz | Psychologist | 220 Bagley, Suite 1100, Detroit, MI 48226 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
| 1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
| 1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
| 1164965877 | Amy Breckon | Psychologist | 8201 Anglers Ln, Hudsonville, MI 49426-8641 | 2016-11-29 |
| 1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
| 1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
| 1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
| 1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
| 1619204914 | Anitha Mummineni | Psychologist | 50889 Briar Ridge Lane, Northville, MI 48168-3215 | 2009-11-06 |
| 1104082254 | Matthew Russell Osborne | Psychologist | 6 Marshall Ct, Ann Arbor, MI 48104-2926 | 2008-07-29 |
| Find all providers with the same taxonomy | ||||
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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.