MR. JONATHAN DOUGLAS REDMOND (NPI# 1699897405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699897405 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN DOUGLAS REDMOND |
| Credential | TLLP |
| Practice Address |
13101 Allen Rd Southgate MI 48195-2216 |
| Mailing Address |
42 E Shore Dr Whitmore Lake MI 48189-9414 |
| Practice Telephone | 7347857705 |
| Mailing Telephone | 7342225168 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301013240 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659643880 | Jonathan Redmond | Occupational Therapy Assistant | 7555 Tuckaseegee Rd, Kannapolis, NC 28081 | 2012-02-03 |
| Street Address |
13101 ALLEN RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801835004 | Lisa K Filary | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2006-06-05 |
| 1821696477 | Michelle Mary Wilson | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-10-15 |
| 1851908214 | Amanda Renae Meyers | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-29 |
| 1811504558 | Auburn Elswick | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-27 |
| 1740895341 | Katelyn Marie Yaczik | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-10 |
| 1780295352 | Lilliana Kesseler | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-08-16 |
| 1093331290 | Hannah Langlois | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-06-23 |
| 1790306835 | Heather Lynn Sandoval | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-04-29 |
| 1609404292 | Amber R Bussell | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-30 |
| 1093340077 | Erica R Davis | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
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| 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 |
|---|---|---|---|---|
| 1982933925 | Dana Marie Toth | Psychologist | 18635 Bowie St, Southgate, MI 48195-2805 | 2009-12-22 |
| 1891981775 | Christine Jo Hergren | Psychologist | 15306 Helen St, Southgate, MI 48195-2068 | 2007-09-24 |
| 1376662247 | Thomas Coleman Pearson IIi | Psychologist | 13101 Allen Rd Ste 400, Southgate, MI 48195-2216 | 2007-03-29 |
| 1568552347 | Carole M Rowland | Psychologist | 12880 Northline Rd, Southgate, MI 48195-1110 | 2006-10-13 |
| 1245843770 | Amy E. Pike | Psychologist | 19275 Northline Rd Bldg 7, Southgate, MI 48195-2220 | 2020-08-25 |
| 1851934905 | Jasmyn Findley | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2019-10-22 |
| 1437715174 | John Angelo Macari | Psychologist | 1 Heritage Dr Ste 520, Southgate, MI 48195-3051 | 2019-05-17 |
| 1437527066 | Heather O'boyle | Psychologist | 18635 Bowie St, Southgate, MI 48195-2805 | 2015-09-14 |
| 1871924365 | Holly Townsend Zugcic | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2013-12-09 |
| 1861832123 | Hannah Katherine Walters | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2013-07-02 |
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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.