DR. MARY JO HICKEY (NPI# 1508917014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508917014 |
| Entity Type | Individual |
| Full Name | DR. MARY JO HICKEY |
| Credential | PH.D. |
| Practice Address |
145 Rochdale Dr S Suite C-2 Rochester Hills MI 48309-2275 |
| Mailing Address |
635 Snowmass Dr Rochester Hills MI 48309-1323 |
| Practice Telephone | 2483752070 |
| Mailing Telephone | 2483752070 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| X | 103T00000X | Psychologist | 6301010955 | MI | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
6301010955 | MI | Behavioral Health & Social Service Providers |
| Street Address |
145 ROCHDALE DR S SUITE C-2 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932199452 | Lillian F Marzouq | Family Medicine | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2005-10-26 |
| 1245858182 | Melissa Pearl Waters | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2020-07-08 |
| 1558901199 | Deirdra Marie Rodriguez | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2020-01-12 |
| 1982250619 | Karen Broski | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2019-08-19 |
| 1639642044 | Daniel Catterall | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2019-01-08 |
| 1427569672 | Andrew Tarockoff | Counselor | 145 Rochdale Dr S, Rochester Hills, MI 48309-2275 | 2017-10-16 |
| 1609034693 | Michael Smith Md PC | Obstetrics & Gynecology | 145 Rochdale Dr S, Suite C, Rochester Hills, MI 48309-2275 | 2008-05-28 |
| 1013193788 | Lillian Marzouq, M.d. P.C. | Family Medicine | 145 Rochdale Dr S, Suite B, Rochester Hills, MI 48309-2275 | 2008-01-12 |
| 1124051271 | Sherry Lee Lord | Psychologist | 145 Rochdale Dr S, Suite D, Rochester Hills, MI 48309-2275 | 2006-07-09 |
| 1396713343 | Michael D Smith | Obstetrics & Gynecology | 145 Rochdale Dr S, Suite C, Rochester Hills, MI 48309-2275 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| 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 |
|---|---|---|---|---|
| 1811467962 | Gleason Psychological Services Inc | Psychologist | 900 W University Dr Ste B1, Rochester Hills, MI 48307-1817 | 2018-12-03 |
| 1942571799 | Rachel L Rosencrants | Psychologist | 2820 Crooks Rd Ste 400, Rochester Hills, MI 48309-3673 | 2012-01-25 |
| 1770620981 | Katherine Jean Hitchcock | Psychologist | 200 Diversion Str., Suite 10a, Rochester Hills, MI 48307-2273 | 2007-01-30 |
| 1871668038 | Jessica Lee Jenkins | Psychologist | 200 Diverson St, Suite 10 A, Rochester Hills, MI 48307-2273 | 2006-11-22 |
| 1205920360 | Kara Marie Brooklier | Psychologist | 745 Barclay Cir, Suite 335, Rochester Hills, MI 48307-5810 | 2006-10-03 |
| 1326087255 | Deborah F Payton | Psychologist | 110 West South Boulevard, 200, Rochester Hills, MI 48307-5160 | 2006-06-06 |
| 1790326379 | Charlene Mcgunn Phd Pllc | Psychologist | 200 Diversion St Ste 150, Rochester Hills, MI 48307-2207 | 2019-10-04 |
| 1154980480 | Rohini Kamakoti | Psychologist | 2490 Walton Blvd Ste 201, Rochester Hills, MI 48309-1413 | 2019-06-11 |
| 1508424557 | Beth Wyrybkowski | Psychologist | 245 Barclay Cir Ste 400, Rochester Hills, MI 48307-5812 | 2019-06-04 |
| 1538670807 | Nicole Eve Blovet | Psychologist | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-10-13 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
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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.