KATHRYN MILLER PHD PC (NPI# 1467664813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467664813 |
| Entity Type | Organization |
| Organization Name | KATHRYN MILLER PHD PC |
| Other Organization Name | DEARBORN COUNSELING AND RESOURCE CENTER |
| Practice Address |
2881 Monroe St Suite 201 Dearborn MI 48124-3475 |
| Practice Telephone | 3133591977 |
| Mailing Telephone | 3133591977 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2010-04-14 |
| Authorized Official Name | KATHRYN M REILLY (PRESIDENT) |
| Authorized Official Telephone | 3133591977 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MI | Behavioral Health & Social Service Providers | |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301008955 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | INDIVIDUAL NPI | 1881718864 | 01 |
| Other Name | Type Code |
|---|---|
| DEARBORN COUNSELING AND RESOURCE CENTER | Doing Business As Name - Organization |
| Street Address |
2881 MONROE ST SUITE 201 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427084805 | George Toufic Nahhas | Internal Medicine | 2881 Monroe St, Suite 100, Dearborn, MI 48124-2847 | 2006-06-25 |
| 1407243017 | Angelica Reihmer | Physician Assistant | 2881 Monroe St, Dearborn, MI 48124-3475 | 2015-04-21 |
| 1023413945 | Mancini Consulting L.L.C. | Internal Medicine | 2881 Monroe St, Dearborn, MI 48124-3475 | 2014-11-04 |
| 1417351727 | Mark Soutar | Psychologist | 2881 Monroe St, Suite #201, Dearborn, MI 48124-3475 | 2014-10-15 |
| 1144585308 | Holly K Hale | Psychologist | 2881 Monroe St, Suite 201, Dearborn, MI 48124-3475 | 2012-07-12 |
| 1609041672 | Venocure, Pllc | Internal Medicine | 2881 Monroe St, Suite 100, Dearborn, MI 48124-3475 | 2008-04-29 |
| 1407026115 | Gayle Gozdor, Ph.d. P.C. | Psychologist | 2881 Monroe St, Suite 201c, Dearborn, MI 48124-3475 | 2008-03-10 |
| 1780893214 | Joseph Chattahi | Internal Medicine | 2881 Monroe St, Suite 100, Dearborn, MI 48124-3475 | 2007-05-22 |
| 1831129477 | Peter Mancini II | Internal Medicine | 2881 Monroe St, Dearborn, MI 48124-3475 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575762 | Authenticity Psychological Services | Psychologist | 24314 Cherry Hill St, Dearborn, MI 48124-1358 | 2020-07-13 |
| 1144798216 | Janelle A Smith | Psychologist | 2881 Monroe St # 201, Dearborn, MI 48124-3475 | 2018-11-07 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1851696488 | Ellen Louise Keyt | Psychologist | Counseling & Resource Center of Dearborn, 19855 W. Outer Drive, Dearborn, MI 48124 | 2011-01-12 |
| 1649574526 | Tiffany Zlatich Tuttle | Psychologist | 19855 West Outer Dr Ste 104w, Dearborn, MI 48124-2022 | 2011-01-06 |
| 1689984213 | Justin Wayne Peer | Psychologist | 1 Parklane Blvd Ste 1210e, Dearborn, MI 48126-4283 | 2010-10-17 |
| 1952637126 | Melissa Marie Farrell | Psychologist | 1 Parklane Blvd, Dearborn, MI 48126 | 2009-10-23 |
| 1558594283 | George Psychological Services PC | Psychologist | 2314 Monroe, Dearborn, MI 48124-3045 | 2009-08-28 |
| 1063663714 | Maritaconstance Supan | Psychologist | 934 Mason St, Dearborn, MI 48124-2215 | 2008-09-30 |
| 1588710222 | Manuel Alexander Manrique | Psychologist | 22967 Outer Dr, Dearborn, MI 48124-4248 | 2007-01-26 |
| Find all providers in DEARBORN | ||||
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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.