TYLER POLLACK INCORPORATED (NPI# 1750852570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750852570 |
| Entity Type | Organization |
| Organization Name | TYLER POLLACK INCORPORATED |
| Practice Address |
595 Forest Ave Plymouth MI 48170-1775 |
| Mailing Address |
49791 Garfield St Canton MI 48188-3425 |
| Practice Telephone | 7345463833 |
| Mailing Telephone | 7345463833 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | MR. TYLER POLLACK (OWNER/CLINICIAN) |
| Authorized Official Telephone | 7345463833 |
| Authorized Official Credential | L.M.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
595 FOREST AVE |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649372608 | Laura Ann Dansel | Nurse Practitioner | 595 Forest Ave, Suite 7a, Plymouth, MI 48170-1775 | 2006-09-01 |
| 1992339253 | Paige Tiedeman | Psychologist | 595 Forest Ave, Plymouth, MI 48170-1775 | 2020-02-26 |
| 1699246652 | Rachel Lynn Noonchester | Psychologist | 595 Forest Ave, Plymouth, MI 48170-1775 | 2018-12-16 |
| 1538601448 | Stefanie Michelle Paquin | Psychologist | 595 Forest Ave, Suite 7a, Plymouth, MI 48170-1775 | 2016-11-09 |
| 1922451756 | Megan J Hromco Jr. | Psychologist | 595 Forest Ave, Suite 7a, Plymouth, MI 48170-1775 | 2016-07-17 |
| 1033563242 | Structure & Function | Chiropractor | 595 Forest Ave, Suite- 7b, Plymouth, MI 48170-1775 | 2016-04-14 |
| 1033546197 | Otto Albert Geiseman Iv | Chiropractor | 595 Forest Ave, Ste 7b, Plymouth, MI 48170-1777 | 2013-10-03 |
| 1598038234 | Stepping Stones Wellness Center, Pllc | Psychologist | 595 Forest Ave, Suite 7a, Plymouth, MI 48170-1775 | 2012-02-10 |
| 1285961532 | Denise L Brooks | Psychologist | 595 Forest Ave, Ste. 7a, Plymouth, MI 48170-1775 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154984623 | Monarch Behavioral Health Pllc | Clinic/Center | 9800 Shelard Pkwy Ste 115, Plymouth, MN 55441-6411 | 2019-04-19 |
| 1487145546 | African American Child Wellness Institute | Clinic/Center | 9800 Shelard Pkwy Ste 325, Plymouth, MN 55441-6453 | 2018-05-24 |
| 1063923043 | Jtcounselingservices | Clinic/Center | 5060 Holly Ln N Unit 4, Plymouth, MN 55446-1763 | 2017-10-18 |
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1104354406 | Willow Bay Therapy, LLC | Clinic/Center | 12805 Highway 55 Ste 216, Plymouth, MN 55441-3859 | 2017-05-31 |
| 1124687660 | Mjm Counseling Pllc | Clinic/Center | 340 N Main St, Plymouth, MI 48170-1249 | 2019-06-09 |
| 1265911945 | Anne Krcatovich, Ma, LLP, LLC | Clinic/Center | 164 N Main St, Plymouth, MI 48170-1236 | 2018-08-13 |
| 1679070635 | Sw Counseling Services LLC | Clinic/Center | 340 N Main St Ste 201, Plymouth, MI 48170-1290 | 2018-04-06 |
| 1316306418 | Nicole Reynolds Psyd LLC | Clinic/Center | 158 N Main St, Plymouth, MI 48170-1236 | 2016-02-17 |
| 1922434653 | Orl Limited LLC | Clinic/Center | 30 Aldrin Rd, Plymouth, MA 02360-4804 | 2013-09-26 |
| Find all providers in PLYMOUTH | ||||
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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.