MICHIGAN PSYCHOLOGICAL, P.C. (NPI# 1801102744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801102744 |
| Entity Type | Organization |
| Organization Name | MICHIGAN PSYCHOLOGICAL, P.C. |
| Practice Address |
27941 Harper Ave Suite 105 Saint Clair Shores MI 48081-1535 |
| Practice Telephone | 5867773200 |
| Practice Fax Number | 5867777855 |
| Mailing Telephone | 5867773200 |
| Mailing Fax Number | 5867777855 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | DR. PAUL D WARD (CLINICAL PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Telephone | 5867772300 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301014162 | MI | Behavioral Health & Social Service Providers |
| Street Address |
27941 HARPER AVE SUITE 105 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952674202 | Carolyn Rain Gentry | Psychologist | 27941 Harper Ave, Suite 102, Saint Clair Shores, MI 48081-1535 | 2012-02-17 |
| 1043512452 | Aleksandra Stoklosa | Psychologist | 27941 Harper Ave, Saint Clair Shores, MI 48081-1535 | 2010-11-18 |
| 1225294200 | Paul D Ward | Psychologist | 27941 Harper Ave, Suite 105, Saint Clair Shores, MI 48081-1535 | 2008-07-30 |
| 1659439073 | Julia Winifred Beard | Counselor | 27941 Harper Ave, Suite 104, Saint Clair Shores, MI 48081-1535 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1104066679 | Jeffrey Degroat Phd Pllc | Psychologist | 21929 E 9 Mile Rd, Saint Clair Shores, MI 48080-2906 | 2009-02-24 |
| 1255546172 | Sheabra Lynn Simpson | Psychologist | 19718 Sussex St, Saint Clair Shores, MI 48081-1020 | 2007-05-14 |
| 1306927603 | Carissa Laura Gaden | Psychologist | 20816 E 11 Mile Rd, Suite 115, Saint Clair Shores, MI 48081-1565 | 2006-10-17 |
| 1912946971 | Jeffrey Scott Degroat | Psychologist | 19900 E 10 Mile Rd, Suite 102, Saint Clair Shores, MI 48080-4412 | 2006-06-05 |
| 1811549140 | Danielle Marie Zouhrob | Psychologist | 23995 Greater Mack Ave, Saint Clair Shores, MI 48080-1417 | 2019-07-16 |
| 1326547456 | Better Together Counseling, LLC | Psychologist | 20816 E 11 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1578 | 2018-02-05 |
| 1467744078 | Michael Alan Young | Psychologist | 22811 Greater Mack Ave, Suite 104, Saint Clair Shores, MI 48080-2021 | 2011-05-15 |
| 1043512452 | Aleksandra Stoklosa | Psychologist | 27941 Harper Ave, Saint Clair Shores, MI 48081-1535 | 2010-11-18 |
| 1144456633 | John A Ryan Phd PC | Psychologist | 22811 Mack Ave, Suite L3, Saint Clair Shores, MI 48080-2021 | 2009-06-10 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.