WILLIAM J MEDICK (NPI# 1669577201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669577201 |
| Entity Type | Individual |
| Full Name | WILLIAM J MEDICK |
| Credential | PHD |
| Practice Address |
730 N Macomb St Ste 225 Monroe MI 48162-2969 |
| Mailing Address |
730 N Macomb St Ste 225 Monroe MI 48162-2969 |
| Practice Telephone | 7346925855 |
| Mailing Telephone | 7342413891 |
| Mailing Fax Number | 7342410014 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301006254 | MI | Behavioral Health & Social Service Providers |
| Street Address |
730 N MACOMB ST STE 225 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1629553235 | Alyssa Sacka | Psychologist | 25 S Monroe St Ste 303, Monroe, MI 48161-2209 | 2018-09-28 |
| 1548563182 | Gary Kinstlinger | Psychologist | 1 Dinev Court, Monroe, NY 10950 | 2010-12-20 |
| 1013219120 | Jack Grobstein | Psychologist | 22 Merriewold Ln N, Monroe, NY 10950-1916 | 2010-11-22 |
| 1043547235 | James Perrone | Psychologist | 23 Wheeler Rd, Monroe, CT 06468-2420 | 2009-11-09 |
| 1710014873 | Earl H. Baker | Psychologist | 1502 Stubbs Ave, Monroe, LA 71201-5628 | 2007-02-27 |
| 1922180561 | Jacob Kirschenbaum | Psychologist | 315a Forsgate Dr, Monroe, NJ 08831-1539 | 2006-10-20 |
| 1174549190 | Jennifer Lynn Westfal | Psychologist | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2006-07-14 |
| 1881629996 | George Philip Popper | Psychologist | 105 E Franklin St, Monroe, NC 28112-4850 | 2006-07-11 |
| 1598711699 | Jennifer L. Cilino-folks | Psychologist | 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 | 2006-05-26 |
| 1285612127 | Lawrence Joseph Wenz | Psychologist | 151 Conklin Rd, Monroe, NY 10950-3644 | 2005-12-31 |
| Find all providers in MONROE | ||||
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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.