VANESSA CHARNOCK


Address: 835 Mason St Ste B220, Dearborn, MI 48124-2262
Phone: 3135619064

VANESSA CHARNOCK (NPI# 1770640252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770640252
Entity Type Individual
Full Name VANESSA CHARNOCK
Credential MS, LLP
Practice Address 835 Mason St Ste B220
Dearborn
MI 48124-2262
Practice Telephone 3135619064
Practice Fax Number 3135634480
Mailing Telephone 3135619064
Mailing Fax Number 3135634480
Enumeration Date 2007-01-03
Last Update Date 2019-02-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301011057 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD V0011057 01
MI LICENSE 6301011057 01

Office Location

Street Address 835 MASON ST STE B220
City DEARBORN
State MI
Zip Code 48124-2262

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275130718 Hillary Easton Psychologist 835 Mason St Ste B220, Dearborn, MI 48124-2262 2020-10-07
1689280182 Tori Andrews Counselor 835 Mason St Ste B220, Dearborn, MI 48124-2262 2020-09-20
1295340362 Lina Bazzi Counselor 835 Mason St Ste B220, Dearborn, MI 48124-2262 2020-09-15
1720604457 Mckendra Cramer Psychologist 835 Mason St Ste B220, Dearborn, MI 48124-2262 2020-06-18
1114557972 Georgeanne Karatsinides Counselor 835 Mason St Ste B220, Dearborn, MI 48124-2262 2020-01-21
1023648953 Yasmeen Saba El-masry Psychologist 835 Mason St Ste B220, Dearborn, MI 48124-2262 2020-01-20
1447880463 Olivia Ann Moquin Psychologist 835 Mason St Ste B220, Dearborn, MI 48124-2262 2020-01-17
1083277339 Jakob Daniel Williams Psychologist 835 Mason St Ste B220, Dearborn, MI 48124-2262 2019-04-22
1043795628 Lisa Michelle Green Counselor 835 Mason St Ste B220, Dearborn, MI 48124-2262 2018-09-28
1578047734 John Glen Flood I Counselor 835 Mason St Ste B220, Dearborn, MI 48124-2262 2018-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538784012 Bethany S Gourley Psychologist 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 2020-06-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1750737284 Emma Van Hoet Psychologist Great Lakes Psychology Group, 1 Parklane Boulevard Suite 1200e, Dearborn, MI 48126 2016-05-13
1245603711 Amani Fadlallah Psychologist 5286 Williamson, Dearborn, MI 48126 2015-11-05
1619316510 Barbara V Travis Psychologist 2881 Monroe St Ste 201, Dearborn, MI 48124-3475 2013-06-24
1336495746 Jason David Majchrzak Psychologist 18501 Rotunda Dr Ste 100, Dearborn, MI 48124-3891 2012-08-03
1407150295 Dustin Marsh Psychologist 19044 Outer Dr, Dearborn, MI 48128 2011-01-07
1275869109 Marilyn Kay Gerwolls Psychologist 7467 Bingham St, Dearborn, MI 48126-1428 2009-10-28
1467578286 Kathleen Mary Kalil Psychologist 24940 Fairmount Dr, Dearborn, MI 48124-1584 2007-03-22
1528197928 Sandra L Parent Psychologist 806 Oakwood Blvd, Dearborn, MI 48124-2319 2007-03-04
Find all providers in DEARBORN

Competitor

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City DEARBORN
Zip Code 48124

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Dataset Information

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.

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