DR. TRACY RENEA JULIAO (NPI# 1447350202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447350202 |
| Entity Type | Individual |
| Full Name | DR. TRACY RENEA JULIAO |
| Credential | PH.D. |
| Practice Address |
31700 W 12 Mile Rd Suite 250 Farmington Hills MI 48334-4424 |
| Mailing Address |
Po Box 3052 Farmington Hills MI 48333-3052 |
| Practice Telephone | 7343687154 |
| Practice Fax Number | 2484774442 |
| Mailing Telephone | 7343687154 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
630101980 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 432 N Saginaw St Ste 433, Flint, MI 485022013 | 7343687154 | 2484774442 |
| 245 Barclay Cir Ste 400, Rochester Hills, MI 483075812 | 7343687154 | 2484774442 |
| 1025 E Maple Rd Ste B7a, Birmingham, MI 480096462 | 7343687154 | 2484774442 |
| 58089 Main St Ste Aandb, New Haven, MI 480482697 | 7343687154 | 2484774442 |
| Street Address |
31700 W 12 MILE RD SUITE 250 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821628116 | Mackenzie Kostizen | Psychologist | 31700 W 12 Mile Rd, Farmington Hills, MI 48334-4424 | 2020-01-25 |
| 1700366028 | Bernadine Ann Bishop | Psychologist | 31700 W 12 Mile Rd, Farmington Hills, MI 48334-4424 | 2018-08-16 |
| 1215473855 | Alexandria Grace Case | Counselor | 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 | 2017-01-06 |
| 1801348420 | Total Health & Wellness Associates | Counselor | 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 | 2016-10-31 |
| 1174984025 | Rebecca Paez | Counselor | 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 | 2016-03-18 |
| 1144591322 | Leena Hadied | Psychologist | 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 | 2012-01-20 |
| 1023328572 | Christine Sebastian | Psychologist | 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 | 2010-10-18 |
| 1104151950 | Total Health & Wellness Associates | Psychologist | 31700 W 12 Mile Rd, Suite 250, Farmington Hills, MI 48334-4424 | 2009-10-13 |
| 1326286329 | Principal Home Healthcare,llc | Home Health | 31700 W 12 Mile Rd, Suite 200, Farmington Hills, MI 48334-4424 | 2009-01-29 |
| 1083770366 | Immune & Diagnostic Laboratory Inc. | Clinical Medical Laboratory | 31700 W 12 Mile Rd, Ste 220, Farmington Hills, MI 48334-4424 | 2006-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230282 | Latice Renee Dowdell | Psychologist | 43828 Medea Dr, Clinton Township, MI 48036-1299 | 2019-11-20 |
| 1770062572 | Letisha Erica Smith | Psychologist | 120 N Washington Sq Ste 307, Lansing, MI 48933-1617 | 2018-08-13 |
| 1174019467 | Christie Ladonna Chandler | Psychologist | 8401 Kennedy Cir Unit 3, Warren, MI 48093-2223 | 2018-07-10 |
| 1225546120 | Tavia Turner | Psychologist | 18758 Florence St, Roseville, MI 48066-4816 | 2018-01-14 |
| 1316490758 | Rosa Maria Thomas | Psychologist | 873 Jordan Ln, Milford, MI 48381-1476 | 2016-08-02 |
| 1851756738 | Jerren Weekes-kanu | Psychologist | 41086 Williamsburg Blvd, Canton, MI 48187-3878 | 2015-12-21 |
| 1376924142 | Lois Jean Webster | Psychologist | 15908 Mansfield St, Detroit, MI 48227-1959 | 2015-06-17 |
| 1962538058 | Charlene Crickon Kushler | Psychologist | 1751 Brookshire Ct, Williamston, MI 48895-9372 | 2007-02-26 |
| 1780757559 | Barbara Hofmann | Psychologist | 650 E Big Beaver Rd Ste A, Troy, MI 48083-1432 | 2006-11-17 |
| 1346333937 | Stanley L. Eden | Psychologist | 514 Juniper Dr., Davison, MI 48423 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.