NEXUS BEHAVIORAL HEALTH PLLC (NPI# 1477066140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477066140 |
| Entity Type | Organization |
| Organization Name | NEXUS BEHAVIORAL HEALTH PLLC |
| Practice Address |
3334 Rochester Rd # 205 Troy MI 48083-5426 |
| Practice Telephone | 8434508611 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | DR. MATTHEW KADRICH (PRESIDENT) |
| Authorized Official Telephone | 8434508611 |
| Authorized Official Credential | PSY.D., LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
3334 ROCHESTER RD # 205 |
| City | TROY |
| State | MI |
| Zip Code | 48083-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
| 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 | ||||
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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.