STEPHEN EDWARD LIPTAK (NPI# 1639194434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639194434 |
| Entity Type | Individual |
| Full Name | STEPHEN EDWARD LIPTAK |
| Credential | PSY.D |
| Practice Address |
3130 N County Road 25a Troy OH 45373-1337 |
| Practice Telephone | 9374407626 |
| Practice Fax Number | 9374407702 |
| Mailing Telephone | 9374407626 |
| Mailing Fax Number | 9374407702 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4619 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3130 N COUNTY ROAD 25A |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956772 | Michael Todd Boggs | Family Medicine | 3130 N County Road 25a, Troy, OH 45373-1337 | 2005-07-19 |
| 1417504630 | Kerri Marie Starkey | Massage Therapist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-08-22 |
| 1033762562 | Kara Sue Bruskotter | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-07-23 |
| 1003477506 | Christine L Asher | Registered Nurse | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-25 |
| 1386203966 | Danielle Morgan Wheeler | Physician Assistant | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-07 |
| 1881173607 | Alaine C. Kirby | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-08-13 |
| 1750871075 | Sarah Flora | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-11 |
| 1083103667 | Brian Allen Haynes | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-09 |
| 1790292191 | Michael E. Barhorst | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-01-08 |
| 1386156115 | Seth Gullett | Nurse Anesthetist, Certified Registered | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943181 | Kristen Ghersi Hurrell | Psychologist | 3725 Rochester Rd, Troy, MI 48083-5244 | 2018-08-22 |
| 1225578214 | Casey Michelle Bazarewski | Psychologist | 5115 Babbit Dr, Troy, MI 48085-3448 | 2017-02-24 |
| 1902268402 | Michael Pignatiello | Psychologist | 1314 Windy Hill Ct, Troy, OH 45373-4572 | 2016-03-23 |
| 1932442829 | Jasmin Patel | Psychologist | 416 Evaline Dr, Troy, MI 48085-5509 | 2013-03-29 |
| 1851690721 | Melissa Kandah | Psychologist | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2011-03-17 |
| 1205134525 | Michigan Behavioral Medicine | Psychologist | 625 E Big Beaver Road, Suite 101, Troy, MI 48083 | 2011-03-10 |
| 1710282611 | Marcie Wagner | Psychologist | 4780 Orchard Ridge Dr, Troy, MI 48098-4121 | 2011-01-24 |
| 1093832818 | James Wargel | Psychologist | 200 East Big Beaver Rd, Troy, MI 48083-1208 | 2007-03-25 |
| 1427197409 | James Clifford Kors | Psychologist | 2075 West Big Beaver, Suite 520, Troy, MI 48084 | 2007-02-06 |
| 1801949391 | John Thomas Lynch IIi | Psychologist | 3336 Essex Dr, Troy, MI 48084-2705 | 2007-01-19 |
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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.