MS. SEAN OTUATHAL (NPI# 1588932693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588932693 |
| Entity Type | Individual |
| Full Name | MS. SEAN OTUATHAL |
| Credential | MA, LLPC |
| Practice Address |
2011 Crooks Rd Royal Oak MI 48073-4049 |
| Practice Telephone | 2484144052 |
| Practice Fax Number | 2484144053 |
| Mailing Telephone | 2484144052 |
| Mailing Fax Number | 2484144053 |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2011-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401012735 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2011 CROOKS RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568408862 | Lynn Surrey | Psychologist | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2006-06-22 |
| 1629568225 | Integrated Health Psychology Pllc | Psychologist | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2018-05-18 |
| 1871903195 | Jeffrey White | Counselor | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2014-05-08 |
| 1598000374 | Heather Evjen | Psychologist | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2012-12-04 |
| 1467709055 | Robert J Elwell | Psychologist | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2012-08-14 |
| 1023396389 | Elizabeth Mccarthy | Counselor | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2011-08-03 |
| 1124323209 | Sheena A Olave | Counselor | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2011-01-20 |
| 1629373139 | Janis Lyn Meyers | Counselor | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2011-01-13 |
| 1003133281 | Jodie Michelle Jacobs | Social Worker | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2010-04-27 |
| 1386967743 | Robert J. Flewelling | Psychologist | 2011 Crooks Rd, Royal Oak, MI 48073-4049 | 2010-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1316337082 | Visiting Counselors of Michigan, LLC | Counselor | 2809 N Campbell Rd, Royal Oak, MI 48073-4292 | 2015-02-02 |
| 1801297965 | Julie Davenport | Counselor | 2446 N Vermont Ave, Royal Oak, MI 48073-4206 | 2014-09-09 |
| 1942617097 | Melissa Davis | Counselor | 1508 Hoffman, Royal Oak, MI 48067 | 2014-07-21 |
| 1013330356 | Amanda Greig | Counselor | 3282 Albert Ave Apt 813, Royal Oak, MI 48073-6841 | 2014-01-22 |
| 1235403890 | Jennifer Berousek | Counselor | 417 N Minerva Ave, Royal Oak, MI 48067-2318 | 2012-02-29 |
| 1124006895 | Jacqueline Adeline Meyers | Counselor | 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2006-01-04 |
| 1942840681 | Equip Counseling LLC | Counselor | 1108 W 11 Mile Rd, Royal Oak, MI 48067 | 2020-01-10 |
| 1861058869 | Kristen Ross | Counselor | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2019-05-15 |
| 1174038913 | Lotus Professional Counseling LLC | Counselor | 1108 W 11 Mile Rd, Royal Oak, MI 48067-2453 | 2017-12-01 |
| Find all providers in ROYAL OAK | ||||
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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.