DR. SAMUEL CRAIG (NPI# 1659728384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659728384 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL CRAIG |
| Credential | PHD |
| Practice Address |
2520 Elizabeth Lake Rd Waterford MI 48328-3312 |
| Mailing Address |
17274 Bentler St Apt 50 Detroit MI 48219-4717 |
| Practice Telephone | 2487065041 |
| Mailing Telephone | 2484707279 |
| Mailing Fax Number | 3137666465 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740451558 | Samuel Allen Craig | Audiologist | 820 E Matthews Ave, Suite A, Jonesboro, AR 72401-3048 | 2008-03-19 |
| Street Address |
2520 ELIZABETH LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1124377403 | Worry Free Counseling | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2012-09-03 |
| 1477790608 | Richard Henry Roth | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2009-01-09 |
| 1871740068 | Maureen Barrett Perko | Social Worker | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2008-08-19 |
| 1982874889 | Gloria Cousins | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1104286046 | Kathryn Joanne Brown | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2016-03-04 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| 1790191690 | Therese Anne Dumas | Counselor | 1255 North Oakland Blvd, Waterford, MI 48327 | 2014-07-11 |
| 1992092811 | Jennifer Rae Hurst | Counselor | 1255 N Oakland Blvd Ste 100, Waterford, MI 48327-1578 | 2011-06-29 |
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1477737674 | Christine Joan Humphrey | Counselor | 1435 N. Oakland Blvd., Waterford, MI 48327 | 2007-12-24 |
| 1275743650 | Shania S Alexander | Counselor | 1255 N. Oakland Blvd, Waterford, MI 48327 | 2007-05-23 |
| 1467577510 | Lisa Ann Page | Counselor | 3720 Elizabeth Lake Rd, Waterford, MI 48328-3014 | 2007-03-20 |
| Find all providers in WATERFORD | ||||
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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.