MARIE VANTUBBERGEN (NPI# 1629229455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629229455 |
| Entity Type | Individual |
| Full Name | MARIE VANTUBBERGEN |
| Credential | PHD |
| Practice Address |
2205 Commonwealth Blvd Ann Arbor MI 48105-2970 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349369552 |
| Mailing Telephone | 7346495299 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 6301012121 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301012121 | MI | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
6301012121 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2205 COMMONWEALTH BLVD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730261611 | Rita N Ayyangar | Pediatrics | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2006-10-19 |
| 1225504061 | Nathaniel Friedman | Speech-Language Pathologist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-10-19 |
| 1770059610 | Hanna Ammons | Speech-Language Pathologist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-10-18 |
| 1184190373 | Emily Catherine Poole | Speech-Language Pathologist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-10-16 |
| 1689149056 | Anna Elizabeth Davis | Speech-Language Pathologist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-10-11 |
| 1619442340 | Lindsay Reilly | Speech-Language Pathologist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-10-09 |
| 1508331364 | Emily Elizabeth Hicks | Speech-Language Pathologist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-10-09 |
| 1427551142 | Christopher Lucido | Physical Therapist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-03-09 |
| 1437651353 | Casey Bross | Occupational Therapist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-03-07 |
| 1629570676 | Joseph Latocki | Occupational Therapist | 2205 Commonwealth Blvd, Ann Arbor, MI 48105-2970 | 2018-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925685 | Davia Steinberg Ogg, Ph.d., LLC | Psychologist | 300 N 5th Ave Ste 200, Ann Arbor, MI 48104-1447 | 2020-09-01 |
| 1730798794 | Joshua Kay | Psychologist | 308 Arbana Dr, Ann Arbor, MI 48103-3706 | 2020-07-27 |
| 1295344216 | Aaron Sedlar | Psychologist | 2500 Packard St Ste 104a, Ann Arbor, MI 48104-6827 | 2020-07-27 |
| 1992320071 | Gohar Psychological Services, Pllc | Psychologist | 321 S Main St Ste 212, Ann Arbor, MI 48104-2128 | 2020-06-15 |
| 1578187688 | Richard Reinsmith | Psychologist | 1420 Iroquois Pl, Ann Arbor, MI 48104-4638 | 2020-06-04 |
| 1063991594 | Abadi Psychology, Pllc | Psychologist | 2350 Washtenaw Ave Ste 7, Ann Arbor, MI 48104-4525 | 2018-08-07 |
| 1982196523 | Karen Gottschalk Psychotherapy | Psychologist | 2350 Washtenaw Ave Ste 7g, Ann Arbor, MI 48104-4532 | 2018-05-30 |
| 1386133973 | Judy Seldin Psychotherapy, Plc | Psychologist | 2350 Washtenaw Ave Ste 7e, Ann Arbor, MI 48104-4532 | 2018-05-09 |
| 1356839351 | Adam Lafave | Psychologist | 3830 Packard St Ste 280, Ann Arbor, MI 48108-2276 | 2018-04-25 |
| 1841797941 | Integrated Counseling LLC | Psychologist | 2311 E Stadium Blvd Ste B5, Ann Arbor, MI 48104-4803 | 2018-04-06 |
| Find all providers in ANN ARBOR | ||||
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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.