AUTUMN SUPERNAW-HALBEDEL (NPI# 1508297714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508297714 |
| Entity Type | Individual |
| Full Name | AUTUMN SUPERNAW-HALBEDEL |
| Credential | TLLP |
| Practice Address |
9095 Overland Trl Flushing MI 48433-1224 |
| Practice Telephone | 8106919840 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015729 | MI | Behavioral Health & Social Service Providers |
| Street Address |
9095 OVERLAND TRL |
| City | FLUSHING |
| State | MI |
| Zip Code | 48433-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611467 | Summer A Bates | Nurse Practitioner | 1459 S. Center Rd, Burton, MI 48433 | 2012-09-18 |
| 1982965083 | David Shorez | Dentist | 6221 W. Pierson Rd, Flushing, MI 48433 | 2012-06-05 |
| 1740540434 | Jennifer Marie Shorez | Dentist | 6221 W. Pierson Rd., Flushing, MI 48433 | 2012-05-29 |
| 1174826069 | Jon L. Schriner, D.o PC | Respite Care | G-6045 West Pierson Rd, Flushing, MI 48433 | 2010-12-15 |
| 1154503993 | Ruelan Back and Neck Care Center Pllc | Chiropractor | G-6390 W Pierson Rd, Flushing, MI 48433 | 2007-12-04 |
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| 1679636088 | Flushing Optical Inc | Optometrist | 105 S. Cherry Street, Flushing, MI 48433 | 2006-12-18 |
| 1245304161 | William Michael Trosko | Counselor | 1434 Flushing Road, Flushing, MI 48433 | 2006-11-20 |
| 1740211820 | Natalya A Brezden Dds Pllc | Dentist | G-6221 W Pierson Rd, Flushing, MI 48433 | 2006-07-06 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| Find all providers in zip 48433 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893082 | Danielle Pepe | Psychologist | 4612 161st St Apt 2c, Flushing, NY 11358-3601 | 2020-05-20 |
| 1093283004 | Lauren Melzer | Psychologist | 16106 Jewel Ave Apt 6h, Flushing, NY 11365-4347 | 2018-11-07 |
| 1932677168 | Senior Care Therapy Lcsw of New York Pllc | Psychologist | 14415 68th Rd, Flushing, NY 11367-1330 | 2018-11-06 |
| 1710493820 | Aviva Tamar Schechter | Psychologist | 13786 75th Rd, Flushing, NY 11367-2816 | 2017-12-27 |
| 1811439128 | Dana Galler | Psychologist | 14739 76th Ave, Flushing, NY 11367-3162 | 2016-11-17 |
| 1598158818 | Danyelle Kittrell | Psychologist | 149-34 35th Street, Flushing, NY 11354 | 2015-03-11 |
| 1770890618 | Faigi R Rosenberg | Psychologist | 13739 70th Rd, Flushing, NY 11367-1929 | 2010-09-13 |
| 1346475993 | Howard J Rosenberg | Psychologist | 13912 72nd Rd, Flushing, NY 11367-2319 | 2009-05-27 |
| 1225273733 | Grace Fung-arto | Psychologist | 4537 194th St, Flushing, NY 11358-3533 | 2008-12-11 |
| 1184873531 | Danielle Pepe | Psychologist | 4612 161st St, 2c, Flushing, NY 11358-3600 | 2008-09-10 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on AUTUMN SUPERNAW-HALBEDEL.
| 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.