MS. AMY HANES (NPI# 1477697027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477697027 |
| Entity Type | Individual |
| Full Name | MS. AMY HANES |
| Credential | PSYD |
| Practice Address |
21592 Doral Dr Macomb MI 48042 |
| Mailing Address |
21592 Doral Dr Macomb MI 48042-4350 |
| Practice Telephone | 5867449026 |
| Mailing Telephone | 5862225082 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301016751 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301014913 | MI | Behavioral Health & Social Service Providers |
| N | 225800000X | Recreation Therapist | 48900 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W University Dr, 104, Rochester, MI 483071873 | 5865401094 |
| Street Address |
21592 DORAL DR |
| City | MACOMB |
| State | MI |
| Zip Code | 48042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1437573177 | Michael D Pizzimenti | Physical Therapist | 23211 N 21 Mile Road, Macomb, MI 48042 | 2014-02-18 |
| 1518210707 | Kimberly Frances Hodor | Nurse Practitioner | 21840 23 Mile, Macomb, MI 48042 | 2012-10-25 |
| 1952628489 | Frank John Pugliesi | Obstetrics & Gynecology | 49730 S. Thunder Bay Circle, Macomb, MI 48042 | 2010-04-23 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| 1780857870 | Ryan David Vinson | Physical Therapist | 23211 21 Mile Rd, Macomb, MI 48042 | 2008-04-09 |
| 1578690889 | Michael P Nedley | Dentist | 51218 Romeo Plank Rd, Macomb Township, MI 48042 | 2007-02-27 |
| 1871672055 | Jeffrey Richard Teno | Dentist | 16800 24 Mile, Suite 5, Macomb, MI 48042 | 2006-11-06 |
| 1649389123 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 15250 24 Mile Road, Macomb, MI 48042 | 2006-08-29 |
| 1811980162 | Complete Rehab Services, Inc | Clinic/Center | 51226 Romeo Plank, Macomb, MI 48042 | 2005-08-23 |
| Find all providers in zip 48042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1356551824 | Kelly Jean Mahla | Psychologist | 55753 Serene Dr, Macomb, MI 48042-6164 | 2007-05-23 |
| 1861618076 | Tracy Albert Knight | Psychologist | 109 W Kurlene Dr, Macomb, IL 61455-1007 | 2007-04-17 |
| 1639123706 | Carl Eric Alsterberg | Psychologist | 52759 Woodmill Dr, Macomb, MI 48042-5668 | 2006-05-21 |
| 1639611973 | David Martin | Psychologist | 210 S Randolph St, Macomb, IL 61455-3828 | 2016-11-16 |
| 1205221439 | Nicole Christine Hernandez | Psychologist | 210 S Randolph St, Macomb, IL 61455-3828 | 2015-04-03 |
| 1427003375 | Lakeside Psychological Services, P.C. | Psychologist | 52759 Woodmill Dr, Macomb, MI 48042-5668 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| 1609483635 | Duaa Hachem | Psychologist | 27249 Lawrence Dr, Dearborn Heights, MI 48127-3348 | 2020-09-24 |
| 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.