MATTHEW J. MCCORMICK


Address: 1777 Axtell Dr, Suite 100, Troy, MI 48084-4404
Phone: 2486135377

MATTHEW J. MCCORMICK (NPI# 1558660621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558660621
Entity Type Individual
Full Name MATTHEW J. MCCORMICK
Credential PH.D., LP
Practice Address 1777 Axtell Dr
Suite 100
Troy
MI 48084-4404
Practice Telephone 2486135377
Mailing Telephone 2486135377
Enumeration Date 2011-03-15
Last Update Date 2016-12-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301015488 MI Behavioral Health & Social Service Providers

Other Providers MATTHEW MCCORMICK

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1295998649 Matthew D. Mccormick Emergency Medicine 326 W 64th St, Chicago, IL 60621-3114 2008-07-07
1922121953 Matthew P Mccormick Internal Medicine 5880 University Ave Ste 102, West Des Moines, IA 50266-8209 2007-04-06
1023104718 Matthew J Mccormick Radiology 1100 9th Ave, Seattle, WA 98101-2756 2006-10-04

Office Location

Street Address 1777 AXTELL DR
SUITE 100
City TROY
State MI
Zip Code 48084-4404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639152093 Miles S Auster Internal Medicine 1777 Axtell Dr, Suite 205, Troy, MI 48084-4404 2005-11-21
1457950172 Jaclyn Tucker Psychologist 1777 Axtell Dr, Troy, MI 48084-4404 2020-10-23
1124635909 Quinette Bowman Counselor 1777 Axtell Dr, Troy, MI 48084-4404 2020-09-25
1821611567 Noor Al-omari Social Worker 1777 Axtell Dr, Troy, MI 48084-4404 2020-05-27
1013566496 Rachel Blanchette Marriage & Family Therapist 1777 Axtell Dr, Troy, MI 48084-4404 2019-09-08
1063065415 Rula Ramzi Mohammad Psychologist 1777 Axtell Dr, Troy, MI 48084-4404 2019-07-24
1063074920 Allison Sarah Mckee Social Worker 1777 Axtell Dr, Troy, MI 48084-4404 2019-07-01
1235790817 Birch Ryder Snogles Marriage & Family Therapist 1777 Axtell Dr, Troy, MI 48084-4404 2019-06-25
1730746686 Anita Hakim Counselor 1777 Axtell Dr, Troy, MI 48084-4404 2019-05-28
1386116556 Andreia De Almeida Schulte Psychologist 1777 Axtell Dr, Troy, MI 48084-4404 2018-12-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497360242 Keely Erin Zuri Physical Therapy Assistant 3250 W. Big Beaver, Troy, MI 48084 2020-09-09
1841762473 Hunter Thomas Michaels Kinesiotherapist 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 2018-12-20
1265900864 Michelle Denise Carter Massage Therapist 3250 West Big Beaver Suite 228, Troy, MI 48084 2018-11-13
1770083925 Troy Daniel Burrell Clinical Exercise Physiologist 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 2018-02-14
1174030175 Alexander Scott Kinesiotherapist 3250 W. Big Beaver Rd., Troy, MI 48084 2017-12-29
1568977213 Mallory Rose Valeri Specialist/Technologist 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 2017-12-04
1710409651 Eduardo Martin Pinto Pharmacist 3811 Coolidge Hwy, Troy, MI 48084 2017-07-12
1659891653 Tricia Michelle Forgash Recreation Therapist 1998 Dorchester Dr. N 106, Troy, MI 48084 2017-06-21
1851759278 Lauren Field Counselor 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 2016-01-30
1265806939 Tammy Scott-barney Nurse Practitioner 888 W Big Beaver Rd Ste 900, Troy, MI 48084 2015-11-18
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215549233 Amelia Amin Psychologist 2855 Coolidge Hwy Ste 101, Troy, MI 48084-3215 2020-08-20
1316336506 Krystle Charon Woods Psychologist 800 Stephenson Hwy Ste 250, Troy, MI 48083-1106 2015-01-12
1336409804 Jenni Knowles, Ph.d., Lp, LLC Psychologist 200 E Big Beaver Rd # 116, Troy, MI 48083-1208 2012-05-18
1649550005 Huilan Zhang Psychologist 2073 E Maple Rd, Troy, MI 48083-4493 2011-08-17
1205065182 Shari Slebodnik Psychologist 1700 W Big Beaver Rd Ste 200, Troy, MI 48084-3524 2009-07-13
1134384274 Rosalynn Marie Moten Psychologist 2215 Golfview Dr, Apt 202, Troy, MI 48084-3919 2008-07-28
1235323973 Sarah Maxwell Gates Psychologist 122 Elmira Street, Suite B, Troy, PA 16947 2007-09-05
1043418098 Warren Behavioral Care, Inc Psychologist 889 Elba Hwy, Troy, AL 36079-6017 2007-07-10
1225231160 Christine Delange Psychologist 1700 W Big Beaver Rd, Suite 200, Troy, MI 48084-3530 2007-06-07
1912112657 Edith Boswell Psychologist 2014 Laurel Dr, Troy, MI 48085-3821 2007-05-14
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Competitor

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City TROY
Zip Code 48084

Improve Information

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Dataset Information

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.

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