CREATIVE PSYCHOLOGY CENTER INC. (NPI# 1639349657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639349657 |
| Entity Type | Organization |
| Organization Name | CREATIVE PSYCHOLOGY CENTER INC. |
| Practice Address |
20816 E 11 Mile Rd Suite #113 Saint Clair Shores MI 48081-1565 |
| Practice Telephone | 5864470130 |
| Mailing Telephone | 5864470130 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | KEITH D RUSSELL (PRESIDENT) |
| Authorized Official Telephone | 5864470130 |
| Authorized Official Credential | PHD, LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801012479 | MI | Behavioral Health & Social Service Providers |
| Street Address |
20816 E 11 MILE RD SUITE #113 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306927603 | Carissa Laura Gaden | Psychologist | 20816 E 11 Mile Rd, Suite 115, Saint Clair Shores, MI 48081-1565 | 2006-10-17 |
| 1649625823 | Sara Rian Marino | Social Worker | 20816 E 11 Mile Rd, Saint Clair Shores, MI 48081-1565 | 2016-04-26 |
| 1518385715 | Beatrice Tyus | Counselor | 20816 E 11 Mile Rd, Suite 101, Saint Clair Shores, MI 48081-1565 | 2014-04-03 |
| 1700181211 | Tracey Torosian, Ph.d., Pllc | Clinic/Center | 20816 E 11 Mile Rd, Suite 112, Saint Clair Shores, MI 48081-1565 | 2011-01-13 |
| 1043514250 | Maria Pappas | Social Worker | 20816 E 11 Mile Rd, Suite 107, Saint Clair Shores, MI 48081-1565 | 2011-01-03 |
| 1023239662 | Keith Duncan Russell | Social Worker | 20816 E 11 Mile Rd, Suite 113, Saint Clair Shores, MI 48081-1565 | 2007-05-01 |
| 1982820957 | Carissa Gaden, Ph.d., P.C. | Psychologist | 20816 E 11 Mile Rd, Suite 115, Saint Clair Shores, MI 48081-1565 | 2007-04-18 |
| 1962531335 | Tracey Torosian | Psychologist | 20816 E 11 Mile Rd, Suite 112, Saint Clair Shores, MI 48081-1565 | 2007-03-03 |
| 1093868093 | Harry Edward Capps | Psychologist | 20816 E 11 Mile Rd, Suite 108, Saint Clair Shores, MI 48081-1565 | 2007-01-21 |
| 1710030721 | Capps Assessment Psychological & Psycho-educational Services, Plc | Psychologist | 20816 E 11 Mile Rd, Suite 108, Saint Clair Shores, MI 48081-1565 | 2007-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856605 | Linda Archibald Lmsw LLC | Social Worker | 23915 Jefferson Ave Ste 5, Saint Clair Shores, MI 48080-1512 | 2018-10-08 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1225558745 | Steven Kalbfleisch | Social Worker | 22777 Harper Ave Ste 104c, Saint Clair Shores, MI 48080-1800 | 2017-06-26 |
| 1184157059 | Abbie Lin Laforest | Social Worker | 26030 Harper Ave, Saint Clair Shores, MI 48081-3773 | 2017-04-07 |
| 1114301751 | Lianee Tait, Lmsw | Social Worker | 20816 E 11 Mile Rd Ste 115, Saint Clair Shores, MI 48081-1579 | 2015-07-14 |
| 1588069280 | Jessie Lynn Korte | Social Worker | 22943 Clairwood St, Saint Clair Shores, MI 48080-3412 | 2014-10-24 |
| 1245671312 | Sherry Regina Scott | Social Worker | 21323 Harper Ave, Saint Clair Shores, MI 48080-2224 | 2013-07-17 |
| 1285975623 | Kristin Frey | Social Worker | 23411 Jefferson Ave Ste 107, Saint Clair Shores, MI 48080-1949 | 2013-03-11 |
| 1326392531 | Laura Bloom | Social Worker | 23409 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080-3449 | 2012-11-09 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.