CENTER FOR BRAINWAVE BALANCE PLLC


Address: 2245 S State St, Suite 1200 #1a, Ann Arbor, MI 48104-6184
Phone: 7345850952

CENTER FOR BRAINWAVE BALANCE PLLC (NPI# 1588091409) 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) 1588091409
Entity Type Organization
Organization Name CENTER FOR BRAINWAVE BALANCE PLLC
Practice Address 2245 S State St
Suite 1200 #1a
Ann Arbor
MI 48104-6184
Practice Telephone 7345850952
Practice Fax Number 7345850954
Mailing Telephone 7345850952
Mailing Fax Number 7345850954
Enumeration Date 2013-10-09
Last Update Date 2014-02-06
Authorized Official Name DR. DEBRA HUTTON (CLINICAL PSYCHOLOGIST/PRESIDENT)
Authorized Official Telephone 7345850952
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 5261 OH Behavioral Health & Social Service Providers

Office Location

Street Address 2245 S STATE ST
SUITE 1200 #1A
City ANN ARBOR
State MI
Zip Code 48104-6184

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154540961 Total Care Home Health Care, Inc. Home Health 2245 S State St, # 100, Ann Arbor, MI 48104-6184 2007-04-24
1336615467 Elizabeth Derby Sammons Rodems Social Worker 2245 S State St, Ann Arbor, MI 48104-6184 2018-10-16
1295255990 Julia Kessler-hollar Social Worker 2245 S State St, Ann Arbor, MI 48104-6184 2017-06-23
1689075285 Jewish Family Services of Washtenaw County, Inc Counselor 2245 S State St, Suite 200, Ann Arbor, MI 48104-6184 2014-09-15
1689099947 Sarah Hong Social Worker 2245 S State St, Ste 200, Ann Arbor, MI 48104-6184 2014-02-24
1285064360 Morgan Deleonard Social Worker 2245 S State St, Ste. 200, Ann Arbor, MI 48104-6184 2013-11-26
1598006637 Diane Lynn Fenske Counselor 2245 S State St, Suite 200, Ann Arbor, MI 48104-6184 2013-03-14
1235402777 Mira Shlomit Sussman Social Worker 2245 S State St, Suite 200, Ann Arbor, MI 48104-6184 2012-02-14
1932484177 Joanna Rosenthal Social Worker 2245 S State St, Ann Arbor, MI 48104-6184 2011-10-19
1861790503 Laura Jacobs Davie Counselor 2245 S State St, Ann Arbor, MI 48104-6184 2011-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336603927 Julie Corey Counselor 2604 Brockman Blvd, Ann Arbor, MI 48104 2019-01-28
1003301045 Ann Arbor Pharmacy LLC Pharmacy 2418 E Stadium Blvd, Ann Arbor, MI 48104 2018-06-22
1811499304 Melissa L Wright Physical Therapist 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 2018-03-01
1689180226 Walgreen Co Durable Medical Equipment & Medical Supplies 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 2017-12-19
1861911547 Jonathen Ross Social Worker 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 2017-09-14
1275058521 Emily Lauren Hanna Social Worker 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 2017-08-08
1073035457 Raynaldo Juaquin Valdez Specialist/Technologist 500 E. Hoover Ave, Ann Arbor, MI 48104 2017-07-07
1912436908 Alison Nicole Tseng Dentist 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 2017-06-05
1528593183 Hillary Baldwin Steller, Lmsw,llc Social Worker 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 2017-04-20
1013360973 Teresa Myers Massage Therapist 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 2016-07-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700036 Estela M Rivero Psychologist 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 2020-11-04
1073112355 Sarah Nicole Kesler Psychologist 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 2020-10-19
1013556174 Sandra K Kriegish Psychologist 2680 Lookout Cir, Ann Arbor, MI 48104-6652 2020-01-06
1730728718 Alexander Jendrusina Psychologist Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 2019-12-23
1144868456 Beth Kafkakis Ma LLP LLC Psychologist 2010 Hogback Rd Ste 6d, Ann Arbor, MI 48105-8800 2019-12-17
1356814115 Ian Gackowski Psychologist 120 E Liberty St Ste 300d, Ann Arbor, MI 48104-2163 2019-01-04
1538671250 Miea Moon Psychologist 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 2017-11-03
1992258560 Frederick Warren Upton Psychologist 635 S Maple Rd # 2, Ann Arbor, MI 48103 2016-07-29
1003267329 Junichi Shimaoka Psychologist 1316 Packard St Apt 2, Ann Arbor, MI 48104-3816 2016-06-28
1174988646 Kristin Marie Rispoli Psychologist 300 N 5th Ave, Suite 210, Ann Arbor, MI 48104-5504 2015-12-28
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Competitor

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City ANN ARBOR
Zip Code 48104

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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