ALICIA A WIDTH (NPI# 1871012799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871012799 |
Entity Type | Individual |
Full Name | ALICIA A WIDTH |
Credential | MA, PSYD |
Practice Address |
41400 Dequindre Rd Ste 110 Sterling Heights MI 48314-3751 |
Mailing Address |
3950 S Shore Dr Commerce Township MI 48382-4397 |
Practice Telephone | 5865802975 |
Enumeration Date | 2017-09-12 |
Last Update Date | 2019-10-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301018162 | MI | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
13101 Allen Rd, Southgate, MI 481952216 | 7347857700 | |
39150 Dequindre Rd Ste 100, Sterling Heights, MI 483106983 | 5865808270 |
Street Address |
41400 DEQUINDRE RD STE 110 |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48314-3751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770808792 | Andrea L Gross | Social Worker | 41400 Dequindre Rd Ste 110, Sterling Heights, MI 48314-3751 | 2010-04-01 |
1932732419 | Shannon Tran | Psychologist | 41400 Dequindre Rd Ste 110, Sterling Heights, MI 48314-3751 | 2020-02-12 |
1770144099 | Mical Sara Lorenz | Social Worker | 41400 Dequindre Rd Ste 110, Sterling Heights, MI 48314-3751 | 2019-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154961720 | Sterling Heights Comfort Care LLC | Assisted Living Facility | 44456 Mound Rd, Sterling Heights, MI 48314 | 2020-01-13 |
1053875591 | Preztige Medical Transportation | Non-emergency Medical Transport (VAN) | 43656 Vintage Oaks Drive, Sterling Heights, MI 48314 | 2019-01-29 |
1396215935 | Alice Arulselvi Andrews | Nurse Practitioner | 4697 Aspenwood Dr, Sterling Heights, MI 48314 | 2018-11-27 |
1861938680 | Hope Physical Therapy | Physical Therapist | 42301 Mound Rd, Sterling Heights, MI 48314 | 2017-01-18 |
1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
1457720534 | Soltions 2 Life LLC | Home Health | 3220 Cherry Creek Lane, Sterling Heights, MI 48314 | 2015-09-18 |
1326449091 | Lauren Ehardt | Dentist | 43060 Mound Rd, Sterling Heights, MI 48314 | 2014-09-11 |
1134554819 | Amy Kathryn Barnes | Social Worker | 5995 Nineteen Mile Rd, Sterling Heights, MI 48314 | 2013-09-12 |
1952666117 | Michigan's Dental Health Professional | Dentist | 42370 Van Dyke Ave Suite 101, Sterling Hts, MI 48314 | 2012-07-12 |
1699051557 | Sanju Koithara | Physical Therapist | 2644 Balsam Way Drive, Sterling Heights, MI 48314 | 2011-10-24 |
Find all providers in zip 48314 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811380041 | Mila Velinova Psyd Pllc | Psychologist | 5995 19 Mile Rd, Sterling Heights, MI 48314-2104 | 2015-03-12 |
1336302892 | Angela Rose Mazur | Psychologist | 39343 Ledgate Dr, Sterling Heights, MI 48310-2339 | 2008-07-04 |
1477726735 | John Charles Maakaron | Psychologist | 36150 Dequindre Rd Ste 530, Ste B, Sterling Heights, MI 48310-7142 | 2008-04-08 |
1730377672 | Dennis Ortman Phd, P.C. | Psychologist | 5528 Metro Pkwy, Sterling Heights, MI 48310-4105 | 2007-10-04 |
1558424317 | Malgorzata Laskowska | Psychologist | 39349 Durand Dr, Sterling Heights, MI 48310-2408 | 2006-12-19 |
1992817050 | Tresavon Delaney Parker IIi | Psychologist | 13213 E 14 Mile Rd, Sterling Heights, MI 48312-6302 | 2006-08-31 |
1649262296 | Michael Butkus | Psychologist | 43200 Dequindre Rd, Ste 104, Sterling Heights, MI 48314-1707 | 2005-08-19 |
1487290573 | Maleha Zainab Rizwan | Psychologist | 42140 Van Dyke Ave Ste 210, Sterling Heights, MI 48314-3676 | 2019-11-23 |
1407339682 | Kaitlin Kerscher | Psychologist | 42140 Van Dyke Ave Ste 210, Sterling Heights, MI 48314-3676 | 2018-09-13 |
1407373988 | Jamie Burnstein | Psychologist | 43157 Schoenherr Rd, Sterling Heights, MI 48313-1955 | 2017-08-25 |
Find all providers in STERLING HEIGHTS |
City | STERLING HEIGHTS |
Zip Code | 48314 |
Please comment or provide details below to improve the information on ALICIA A WIDTH.
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.