KRISTINA HAMMOUDEH (NPI# 1760812820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760812820 |
| Entity Type | Individual |
| Full Name | KRISTINA HAMMOUDEH |
| Practice Address |
6 Parklane Blvd Suite 695 Dearborn MI 48126-2696 |
| Practice Telephone | 3132718170 |
| Mailing Telephone | 3132718170 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301014382 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENCE | 6301014382 | 01 |
| Street Address |
6 PARKLANE BLVD SUITE 695 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770662165 | Ghulam Qadir | Psychiatry & Neurology | 6 Parklane Blvd, Suite 695, Dearborn, MI 48126 | 2006-11-04 |
| 1073061875 | Layla Abdul-ghani | Social Worker | 6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696 | 2016-09-21 |
| 1235539453 | Sierra Home Health Care, LLC | Home Health | 6 Parklane Blvd, Suite 610, Dearborn, MI 48126-2696 | 2014-08-25 |
| 1093051153 | Adijat Ogunyemi | Social Worker | 6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696 | 2012-12-18 |
| 1902156730 | Maryann Wehab Mulan | Psychologist | 6 Parklane Blvd, Suite 695, Dearborn, MI 48126 | 2012-09-19 |
| 1285982710 | Moray Jamil Wehab | Social Worker | 6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696 | 2012-08-15 |
| 1467732644 | Apex Behavioral Health Dearborn Pllc | Psychiatry & Neurology | 6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696 | 2011-08-19 |
| 1154621563 | Ghulam Qadir Md PC | Psychiatry & Neurology | 6 Parklane Blvd, Suite 695, Dearborn, MI 48126-2696 | 2010-11-01 |
| 1144535899 | Marry Rose Sanjana Cyril-schwartz | Counselor | 6 Parklane Blvd, Ste 695, Dearborn, MI 48126-2776 | 2010-08-18 |
| 1306992201 | Everett V Bryant Md Pllc | Family Medicine | 6 Parklane Blvd, 436, Dearborn, MI 48126-2696 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575762 | Authenticity Psychological Services | Psychologist | 24314 Cherry Hill St, Dearborn, MI 48124-1358 | 2020-07-13 |
| 1144798216 | Janelle A Smith | Psychologist | 2881 Monroe St # 201, Dearborn, MI 48124-3475 | 2018-11-07 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1851696488 | Ellen Louise Keyt | Psychologist | Counseling & Resource Center of Dearborn, 19855 W. Outer Drive, Dearborn, MI 48124 | 2011-01-12 |
| 1649574526 | Tiffany Zlatich Tuttle | Psychologist | 19855 West Outer Dr Ste 104w, Dearborn, MI 48124-2022 | 2011-01-06 |
| 1689984213 | Justin Wayne Peer | Psychologist | 1 Parklane Blvd Ste 1210e, Dearborn, MI 48126-4283 | 2010-10-17 |
| 1952637126 | Melissa Marie Farrell | Psychologist | 1 Parklane Blvd, Dearborn, MI 48126 | 2009-10-23 |
| 1558594283 | George Psychological Services PC | Psychologist | 2314 Monroe, Dearborn, MI 48124-3045 | 2009-08-28 |
| 1063663714 | Maritaconstance Supan | Psychologist | 934 Mason St, Dearborn, MI 48124-2215 | 2008-09-30 |
| 1588710222 | Manuel Alexander Manrique | Psychologist | 22967 Outer Dr, Dearborn, MI 48124-4248 | 2007-01-26 |
| Find all providers in DEARBORN | ||||
Please comment or provide details below to improve the information on KRISTINA HAMMOUDEH.
| 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.