DR. MIRIAM LUCAS MEDOW (NPI# 1770782096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770782096 |
| Entity Type | Individual |
| Full Name | DR. MIRIAM LUCAS MEDOW |
| Credential | M.D. |
| Practice Address |
26789 Woodward Ave Ste 110 Huntington Woods MI 48070-1334 |
| Practice Telephone | 2485468862 |
| Practice Fax Number | 2485468862 |
| Mailing Telephone | 2485468862 |
| Mailing Fax Number | 2485468862 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301036747 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
26789 WOODWARD AVE STE 110 |
| City | HUNTINGTON WOODS |
| State | MI |
| Zip Code | 48070-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081222 | Elise Dubois | Counselor | 26789 Woodward Ave Ste 110, Huntington Woods, MI 48070-1334 | 2020-04-13 |
| 1053610782 | Ellen Keyt, Phd, Pllc | Psychologist | 26789 Woodward Ave Ste 110, Huntington Woods, MI 48070-1334 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286237 | Intrinsic Dental Care Plc | Dentist | 26711 Woodward Ave., Suite 101, Huntington Woods, MI 48070 | 2019-07-10 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1396958336 | Matthew James Smith | Dentist | 26711 Woodward Avenue, Suite 107, Huntington Woods, MI 48070 | 2007-05-07 |
| 1467664177 | Barry Chesterman | Physical Therapist | 13132 Ludlow Ave, Huntington Woods, MI 48070 | 2007-05-04 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1194802314 | Russell Charles Bowman | Dentist | 26635 Woodward, Huntington Woods, MI 48070 | 2006-11-01 |
| 1508951104 | Chen Cao | Dentist | 26789 Woodward Ave., Suite 203, Huntington Woods, MI 48070 | 2006-10-03 |
| 1235162231 | Ira Joseph Schaer | Psychologist | 26789 Woodward, Suite 211, Huntington Woods, MI 48070 | 2006-07-10 |
| 1962475236 | Lisa Anne Fulgenzi | Internal Medicine | 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070 | 2006-02-08 |
| 1861478612 | Nancy M Mannisto | Pediatrics | 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 | 2005-12-22 |
| Find all providers in zip 48070 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451161 | Paul Robert Lessem | Psychiatry & Neurology | 26789 Woodward Ave, Huntington Woods, MI 48070-1335 | 2005-07-15 |
| 1982850608 | Paul R. Lessem, Md, PC | Psychiatry & Neurology | 26789 Woodward Ave, Suite 210, Huntington Woods, MI 48070-1335 | 2008-08-13 |
| 1700805983 | Louis Hoffman Md PC | Psychiatry & Neurology | 26711 Woodward Ave, Suite Ll3, Huntington Woods, MI 48070-1333 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686165 | Centia Health LLC | Psychiatry & Neurology | 23802 Wintergreen Cir, Novi, MI 48374-3681 | 2020-10-16 |
| 1114524428 | Clarity Behavioral Health Pllc | Psychiatry & Neurology | 7154 Merrybrook, West Bloomfield, MI 48322-4066 | 2020-10-08 |
| 1790395978 | Amiri Psychiatric Services Pllc | Psychiatry & Neurology | 1695 W Saratoga St, Ferndale, MI 48220-3153 | 2020-08-03 |
| 1881211191 | Infinite Wellness Healthcare, Pllc | Psychiatry & Neurology | 19855 Outer Dr Ste 504e, Dearborn, MI 48124-2040 | 2020-07-02 |
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1083247134 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 | 2020-02-18 |
| 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 |
| 1922646538 | Sylvia Hanson Md Pllc | Psychiatry & Neurology | 6461 Golden Ln, West Bloomfield, MI 48322-3096 | 2019-12-13 |
| 1740823129 | Tms Wellness Clinic of Michigan Pllc | Psychiatry & Neurology | 5757 W Maple Rd Ste 800-b, West Bloomfield, MI 48322-2277 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON WOODS |
| Zip Code | 48070 |
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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.