BASAK AMELIA KHAMUSH (NPI# 1528685732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528685732 |
| Entity Type | Individual |
| Full Name | BASAK AMELIA KHAMUSH |
| Credential | PHD |
| Practice Address |
463 E Circle Dr East Lansing MI 48824-7500 |
| Mailing Address |
1298 Starboard Dr Okemos MI 48864-3482 |
| Practice Telephone | 5173558270 |
| Mailing Telephone | 2169260415 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
463 E CIRCLE DR |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150683 | Patricia Ann Ryan | Family Medicine | 463 E Circle Dr, East Lansing, MI 48824-7505 | 2005-11-08 |
| 1780066894 | Sarah Elizabeth Fay-simons | Social Worker | 463 E Circle Dr, Room 123, East Lansing, MI 48824-7500 | 2015-06-25 |
| 1366821324 | Chetan Chauhan | Psychiatry & Neurology | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2015-05-23 |
| 1063813889 | Dawn M Goldstein | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2014-09-11 |
| 1932508116 | Chanda Bolander | Social Worker | 463 E Circle Dr, Rm 123, East Lansing, MI 48824-7505 | 2014-08-14 |
| 1336563485 | Nancy Fontus | Pharmacist | 463 E Circle Dr, Room103, East Lansing, MI 48824-7505 | 2014-02-10 |
| 1467740878 | Tami Jean Hiser | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2011-07-19 |
| 1003115718 | Angela J H Arsenault | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2011-03-21 |
| 1801119532 | Susan R Wilson | Nurse Practitioner | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2010-03-09 |
| 1689881781 | Farha Zaman Abbasi | Psychiatry & Neurology | 463 E Circle Dr, Olin Health Center, East Lansing, MI 48824-7500 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275063661 | Heart Reflections, L.L.C. | Psychologist | 1151 Michigan Ave Ste 108, East Lansing, MI 48823-4078 | 2017-06-18 |
| 1912917881 | Bonnie Fons Wilson | Psychologist | 415 W Grand River, East Lansing, MI 48823-4201 | 2006-08-09 |
| 1023081296 | Sarita R Overton | Psychologist | 790 W Lake Lansing Rd, Suite # 500, East Lansing, MI 48823-8465 | 2006-02-08 |
| 1952927923 | Kintsugi Wellness Counseling Pllc | Psychologist | 1151 Michigan Ave Ste 108, East Lansing, MI 48823-4078 | 2020-06-24 |
| 1871093864 | Dukhae A Sung | Psychologist | 2720 E Lansing Dr, East Lansing, MI 48823-7754 | 2018-02-15 |
| 1881851913 | Hatcher & Associates, P.C. | Psychologist | 3448 E Lake Lansing Rd, East Lansing, MI 48823-1511 | 2008-05-16 |
| 1003086059 | Eileen M. Hathaway | Psychologist | 5030 Northwind Dr, Suite 108, East Lansing, MI 48823-5034 | 2008-03-06 |
| 1659427839 | Joseph Alex Jeney | Psychologist | 415 W Grand River Ave, East Lansing, MI 48823-4201 | 2007-01-28 |
| 1518941574 | Dianne Seaver Singleton | Psychologist | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-12-02 |
| 1962486928 | Christopher Paul Giuliano | Psychologist | 909 Fee Rd Room B119, Michigan State University Department of Psychiatry, East Lansing, MI 48824-3603 | 2005-12-02 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
Please comment or provide details below to improve the information on BASAK AMELIA KHAMUSH.
| 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.