GARY LYN RHODES (NPI# 1821036989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821036989 |
| Entity Type | Individual |
| Full Name | GARY LYN RHODES |
| Credential | MA LLP |
| Practice Address |
3901 Chrysler Service Dr Detroit MI 48201-2167 |
| Mailing Address |
1560 E Maple Rd Suite 400 - Credentialing Troy MI 48083-1189 |
| Practice Telephone | 3139933964 |
| Practice Fax Number | 3139931372 |
| Mailing Telephone | 3139933964 |
| Mailing Fax Number | 3139931372 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301011635 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417149105 | Gary Glenn Rhodes Jr. | Massage Therapist | 5410 California Ave Sw, Suite 203, Seattle, WA 98136-1562 | 2007-08-15 |
| Street Address |
3901 CHRYSLER SERVICE DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629634878 | Shameer Mehdikhan | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Detroit, MI 48201 | 2019-05-14 |
| 1992239560 | Sandra Helena Reyes | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Suite 5-a, Detroit, MI 48201 | 2017-04-20 |
| 1639603269 | Justin Gray | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Detroit, MI 48201 | 2017-04-20 |
| 1316470347 | Tyler Joseph William Hecht | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Suite 5-a, Detroit, MI 48201 | 2017-04-06 |
| 1568822963 | Manisha Leary | Social Worker | 3901 Chrysler Service Dr, Detroit, MI 48201-2167 | 2016-02-26 |
| 1932596731 | Takako Benn | Psychiatry & Neurology | 3901 Chrysler Service Dr, Suite 5-a, 538.4, Detroit, MI 48201 | 2015-04-20 |
| 1346631470 | Lacretia Fisher | Registered Nurse | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2015-02-11 |
| 1285950212 | Lydia C Ditirro | Psychiatry & Neurology | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2010-04-15 |
| 1720257207 | Walter Otto Siegl | Social Worker | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2008-02-28 |
| 1376742056 | David M Ledgerwood | Psychologist | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2007-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285129221 | Wayne State University | Psychologist | 540 E Canfield St Ste 1241, Detroit, MI 48201 | 2018-06-22 |
| 1508362922 | Claudia Anagurthi | Psychologist | Chm/specilty Center, 3950 Beaubien Ground Fl, Detroit, MI 48201 | 2018-04-04 |
| 1992136295 | Marilyn Franklin | Psychologist | 9000 E Jefferson Ave Apt 28-17, Detroit, MI 48214-2940 | 2013-12-12 |
| 1144669318 | Julia Helene Bellamy | Psychologist | 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 | 2013-06-20 |
| 1255675005 | Nicole Henriksen | Psychologist | 4201 Saint Antoine St Ste 4b, Detroit, MI 48201 | 2012-11-17 |
| 1093061517 | Kinneta Easter Mason | Psychologist | 19738 Fielding St, Detroit, MI 48219 | 2012-08-02 |
| 1376859785 | Eugene Ronald Craig | Psychologist | 300 Riverfront Dr, Suite 16 H, Detroit, MI 48226-4516 | 2010-08-23 |
| 1902126725 | Dana Raquel Lasenby | Psychologist | 3434 Russell St, Suite #307, Detroit, MI 48207-2062 | 2010-06-03 |
| 1699004614 | Monica Anne Moore | Psychologist | 18940 Oak Dr, Detroit, MI 48221-2264 | 2009-12-22 |
| 1750610796 | Sekai Denard Broaden | Psychologist | 14952 Rosemont Ave, Detroit, MI 48223-2364 | 2009-12-22 |
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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.