DR. SAMUEL ALLEN MENDOZA (NPI# 1871525592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871525592 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL ALLEN MENDOZA |
| Credential | MD |
| Practice Address |
2215 Fuller Rd Rm A793 Ann Arbor MI 48105-2303 |
| Practice Telephone | (734) 845-3471 |
| Mailing Telephone | (734) 845-3471 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
4301084783 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5201 Raymond St, #431, Orlando, FL 328038208 | 4076291599 | 4075991583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891126744 | Samuel Veloria Mendoza | Pharmacist | Usnh Guantanamo Bay, Box 161, Fpo, AE 09589-9997 | 2013-12-03 |
| Street Address |
2215 FULLER RD RM A793 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174843163 | Thomas Park | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2010-06-02 |
| 1750606083 | Regents of The University of Michigan | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2701 | 2010-03-30 |
| 1770518839 | Regents of The University of Michigan | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590599 | Susan Patricia Brown | Psychiatry & Neurology | 13800 Brush St, Highland Park, MI 48203-3107 | 2019-07-17 |
| 1730563545 | Insync Behavioral Health Pllc | Psychiatry & Neurology | 8 N Vista, Auburn Hills, MI 48326-1417 | 2015-07-13 |
| 1942319074 | Norman S Miller Md Jd Pllc | Psychiatry & Neurology | 716 Northlawn Ave, East Lansing, MI 48823-3059 | 2006-08-30 |
| 1528612843 | American Trinity Psychiatry Pllc | Psychiatry & Neurology | 1655 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-07-25 |
| 1093373763 | Agnes Wrobel Psychiatry Pllc | Psychiatry & Neurology | 41400 Dequindre Rd Ste 121, Sterling Heights, MI 48314-3751 | 2019-05-29 |
| 1932459567 | Gerald A. Shiener, M.d.,p.c. | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2012-09-11 |
| 1851604821 | James Bartunek, M.d. PC | Psychiatry & Neurology | 1460 Walton Blvd, Suite 215, Rochester Hills, MI 48309-1768 | 2010-07-20 |
| 1487885513 | Umer Farooq | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2009-08-06 |
| 1992845028 | Joyce M Gregory | Psychiatry & Neurology | 854 Washington Ave, Holland, MI 49423-7144 | 2007-02-07 |
| 1922168798 | Sarah R. Zamari | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
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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.