XOCHITL CARRASQUEDO (NPI# 1881098713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881098713 |
| Entity Type | Individual |
| Full Name | XOCHITL CARRASQUEDO |
| Credential | LLPC |
| Practice Address |
1700 Waterman St Detroit MI 48209-2022 |
| Practice Telephone | 3138418900 |
| Mailing Telephone | 3138418900 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015968 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1700 WATERMAN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48209-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437169786 | Jaswant Purohit | Psychiatry & Neurology | 1700 Waterman St, Detroit, MI 48209-2022 | 2006-08-09 |
| 1912513839 | Erica Medina | Counselor | 1700 Waterman St, Detroit, MI 48209-2022 | 2020-09-16 |
| 1952934366 | Laura Owens | Registered Nurse | 1700 Waterman St, Detroit, MI 48209-2022 | 2020-02-14 |
| 1013556026 | Jamice Sade' Harris | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-12-23 |
| 1033755269 | Rodney Harold Averett | Counselor | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-11-22 |
| 1124685433 | Kristina Nicole Henning | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-05-22 |
| 1861952517 | Edward Grumeretz | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-03-20 |
| 1679047427 | Candice Taylor | Technician, Other | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-01-15 |
| 1154826311 | Stephanye Lavenant | Case Manager/Care Coordinator | 1700 Waterman St, Detroit, MI 48209-2022 | 2018-03-28 |
| 1356846612 | Mary Regina Martinez | Case Manager/Care Coordinator | 1700 Waterman St, Detroit, MI 48209-2022 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| Find all providers in zip 48209 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675568 | Andria Lynn Norman | Psychologist | 71 Garfield St Apt 270, Detroit, MI 48201-1907 | 2020-09-24 |
| 1639793011 | Lori Hale | Psychologist | 1071 W Lantz St, Detroit, MI 48203-5100 | 2020-06-02 |
| 1043728819 | Sami Farhat | Psychologist | 1025 E Forest Ave Bldg C, Detroit, MI 48207-1024 | 2018-01-16 |
| 1235644469 | Denise Elizabeth Wallace | Psychologist | 7310 Woodward Ave Ste 401, Detroit, MI 48202-3165 | 2017-12-11 |
| 1669843850 | Amyna Ftouni | Psychologist | 553 E Jefferson Ave, Detroit, MI 48226-4324 | 2015-10-13 |
| 1326424078 | Wendy Pandora Cody | Psychologist | 11253 Somerset Ave, Detroit, MI 48224-1128 | 2015-08-05 |
| 1629475199 | Renee Bouey | Psychologist | 18480 Lancashire St, Detroit, MI 48223-1325 | 2014-11-29 |
| 1649697343 | Shelby Wilson-drummond | Psychologist | 70 W Alexandrine St, Detroit, MI 48201-2051 | 2014-03-20 |
| 1184068975 | Shara L. Johnson | Psychologist | 19511 Greenfield Rd, Detroit, MI 48235-2016 | 2013-04-23 |
| 1649511015 | Lindsay Yeager Carr | Psychologist | 2629 Lenox St, Detroit, MI 48215-2667 | 2013-03-11 |
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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.