COMPLETE NEUROPSYCHOLOGY SERVICES, INC (NPI# 1629444328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629444328 |
| Entity Type | Organization |
| Organization Name | COMPLETE NEUROPSYCHOLOGY SERVICES, INC |
| Practice Address |
2010 Hogback Rd Ste 6g Ann Arbor MI 48105-9749 |
| Mailing Address |
Po Box 2257 Chesterton IN 46304-0357 |
| Practice Telephone | 7343860041 |
| Practice Fax Number | 7344808870 |
| Mailing Telephone | (219) 926-8320 |
| Mailing Fax Number | 2199263524 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ERIN MARK (OWNER) |
| Authorized Official Telephone | 7343860041 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1062 Orndorf Dr, Brighton, MI 481162308 | 7343860041 |
| Street Address |
2010 HOGBACK RD STE 6G |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
| 1366920282 | Emma Kelley | Social Worker | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105 | 2018-08-02 |
| 1992219497 | Tiffany Schultz | Counselor | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2017-11-21 |
| 1013429802 | Stephanie Bicsak | Social Worker | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2017-11-01 |
| 1750756763 | Joseph Petricca | Social Worker | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2015-12-02 |
| 1811313695 | Dana Kremidas | Social Worker | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2014-03-17 |
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
| 1801164496 | Veronica Ichikawa Dillon | Clinical Neuropsychologist | 5600 Meadow Dr, Ann Arbor, MI 48105-9368 | 2011-12-09 |
| 1154592053 | John Robert Milanovich | Clinical Neuropsychologist | 2001 Commonwealth Blvd, Ann Arbor, MI 48105-2947 | 2008-03-19 |
| 1639393614 | Roger E. Lauer | Clinical Neuropsychologist | 5864 Interface Dr Ste D, Ann Arbor, MI 48103-9514 | 2007-04-12 |
| 1780797621 | Elise Kay Hodges | Clinical Neuropsychologist | 2101 Commonwealth, Ann Arbor, MI 48105-2969 | 2006-08-16 |
| 1083236095 | Amanda Maher | Clinical Neuropsychologist | 2101 Commonwealth Blvd, Ann Arbor, MI 48105-2969 | 2020-05-13 |
| 1811557960 | Rowena Ng | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2019-06-19 |
| 1053899344 | Annalise Marie Rahman-filipiak | Clinical Neuropsychologist | 2101 Commonwealth Blvd, Suite C, Ann Arbor, MI 48105-2969 | 2018-07-30 |
| 1619461787 | Cynthia Zurhellen Burton | Clinical Neuropsychologist | 2101 Commonwealth, Ann Arbor, MI 48105-2969 | 2018-06-21 |
| 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.