DR. SAMANTHA SANDERSON BROWN (NPI# 1518454701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518454701 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA SANDERSON BROWN |
| Credential | PSYD |
| Practice Address |
1030 Miners Rd Saint Joseph MI 49085-9625 |
| Mailing Address |
4409 Vine St Bridgman MI 49106-9580 |
| Practice Telephone | 6145067528 |
| Mailing Telephone | 6145067528 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301017413 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1030 MINERS RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055466 | Raghu Ram Veeramasuneni | Psychiatry & Neurology | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2005-07-06 |
| 1184238347 | Jessica Danielle Hoffmann | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2020-09-04 |
| 1861039760 | Paige Belanger | Dietitian, Registered | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-12-10 |
| 1588208730 | Emma Grace Schurder | Counselor | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-10-31 |
| 1912556119 | Kathryn Erickson | Social Worker | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-09-10 |
| 1790343010 | Jennifer Gresens | Social Worker | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-06-01 |
| 1194383794 | Samantha Lynn Crumb | Social Worker | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-05-30 |
| 1740776749 | Elva Whaley | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2018-07-03 |
| 1619486610 | Lisa Marie Davis | Counselor | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2017-09-22 |
| 1376052290 | Patrick Thomas Byrnes | Counselor | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2017-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| 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 |
|---|---|---|---|---|
| 1710519376 | Gale Sandra Hackworth | Psychologist | 811 Ship St Ste 4b, Saint Joseph, MI 49085-1171 | 2020-02-11 |
| 1063547214 | Richard Reynolds Taylor | Psychologist | 3510 Frederick Ave, Saint Joseph, MO 64506-2987 | 2007-02-21 |
| 1063448918 | Bruce Patrick Hackworth | Psychologist | 811 Ship St, Suite 4b, Saint Joseph, MI 49085-1171 | 2006-06-23 |
| 1861434979 | Shirley Eileen Taylor | Psychologist | 137 N Belt Hwy, Saint Joseph, MO 64506-3491 | 2006-06-12 |
| 1396712071 | Adam Buhman-wiggs | Psychologist | 105 Far West Dr Ste 105, Saint Joseph, MO 64506-3514 | 2006-03-02 |
| 1568457885 | Ilene Fay Schaller | Psychologist | 4208 Kensington Dr, Saint Joseph, MO 64506-4550 | 2005-09-13 |
| 1255331005 | Samaritan Counseling Center Inc. | Psychologist | 902 Edmond St, Ste 203, Saint Joseph, MO 64501-2702 | 2005-07-22 |
| 1699241539 | Sarah Mielens | Psychologist | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 | 2018-10-18 |
| 1740776749 | Elva Whaley | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2018-07-03 |
| 1184141335 | Emily White | Psychologist | 830 Pleasant St, Saint Joseph, MI 49085-1102 | 2017-08-28 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.