TRACEY TOROSIAN, PH.D., PLLC (NPI# 1700181211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700181211 |
| Entity Type | Organization |
| Organization Name | TRACEY TOROSIAN, PH.D., PLLC |
| Practice Address |
20816 E 11 Mile Rd Suite 112 Saint Clair Shores MI 48081-1565 |
| Practice Telephone | 5867747344 |
| Practice Fax Number | 5867747345 |
| Mailing Telephone | 5867747344 |
| Mailing Fax Number | 5867747345 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Authorized Official Name | TRACEY TOROSIAN (SOLE PROPRIETOR) |
| Authorized Official Telephone | 5867747344 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 6301009014 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 680E046090 | 01 |
| MI | NPI TYPE 1 | 1962531335 | 01 |
| Street Address |
20816 E 11 MILE RD SUITE 112 |
| 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 |
| 1043514250 | Maria Pappas | Social Worker | 20816 E 11 Mile Rd, Suite 107, Saint Clair Shores, MI 48081-1565 | 2011-01-03 |
| 1639349657 | Creative Psychology Center Inc. | Social Worker | 20816 E 11 Mile Rd, Suite #113, Saint Clair Shores, MI 48081-1565 | 2008-03-05 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811130768 | Ability Assessments, PC | Clinic/Center | 22030 Greater Mack Ave, Saint Clair Shores, MI 48080-2369 | 2009-04-08 |
| 1942790357 | Dream Specimen Collections | Clinic/Center | 21250 Harper Ave, Saint Clair Shores, MI 48080-2221 | 2018-05-11 |
| 1275958118 | Nutrition Balance LLC | Clinic/Center | 22811 Greater Mack Ave, Suite 105, Saint Clair Shores, MI 48080-2021 | 2014-03-01 |
| 1215067046 | St. John Family Center | Clinic/Center | 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080-3200 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on TRACEY TOROSIAN, PH.D., PLLC.
| 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.