WILLIE CARSON (NPI# 1760822332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760822332 |
| Entity Type | Individual |
| Full Name | WILLIE CARSON |
| Credential | LLP |
| Practice Address |
1000 Oakland Dr Kalamazoo MI 49008-1282 |
| Practice Telephone | 2693878230 |
| Practice Fax Number | 2693877026 |
| Mailing Telephone | 2693878230 |
| Mailing Fax Number | 2693877026 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
C0714 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1000 OAKLAND DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467249 | Michigan State University Kalamazoo Center for Medical Studies | Clinic/Center | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2005-06-17 |
| 1154930899 | Rawand Khaled Abdel Wahed | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-29 |
| 1932717808 | Reem Issa Ibrahim Anz | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-16 |
| 1386262525 | Mohammad Sabobeh | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-13 |
| 1396363024 | Marian Jirjis | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-09 |
| 1538786314 | David Mahmoudian | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1284 | 2020-06-29 |
| 1316564099 | Mursel Momand | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-29 |
| 1992322713 | Taylor Cable | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-26 |
| 1679199665 | Haripriya Santhanam | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-25 |
| 1134745110 | Faisal Ansari | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730579046 | Laura Marlatt | Psychologist | 519 S Park St, Kalamazoo, MI 49007-5117 | 2015-01-26 |
| 1477711182 | William S Shauman | Psychologist | 122 W South St, Kalamazoo, MI 49007-4711 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137883 | Lazarusman Consulting, Pllc | Psychologist | 2416 Peck St, Muskegon Hts, MI 49444-1431 | 2020-02-29 |
| 1861031189 | Christina M Kaplan, Pllc | Psychologist | 39520 Woodward Ave Ste 201, Bloomfield Hills, MI 48304-5057 | 2020-01-03 |
| 1184273716 | Drbrandi | Psychologist | 16250 Northland Dr Ste 240, Southfield, MI 48075-5227 | 2019-09-06 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508202920 | Abaris Health | Psychologist | 2501 Rochester Ct, Troy, MI 48083-1875 | 2013-05-13 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| 1003161282 | Michael George Brock | Psychologist | 2514 Biddle Avenue, Wyandotte, MI 48192 | 2012-07-13 |
| 1972860005 | Samaritas | Psychologist | 128 S Cochran Ave, Charlotte, MI 48813-1510 | 2012-04-13 |
| 1619254042 | Kathryn Bartz | Psychologist | 500 Barfield Dr., Hastings, MI 49058-9018 | 2011-11-14 |
| 1609100627 | Laytoya Chevette Lambeth | Psychologist | 51255 Luke Ln, Novi, MI 48374-1004 | 2009-09-23 |
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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.