DR. RONALD HAROLD BOARDWAY (NPI# 1881703858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881703858 |
| Entity Type | Individual |
| Full Name | DR. RONALD HAROLD BOARDWAY |
| Credential | PHD |
| Practice Address |
19900 E 10 Mile Rd Ste 102 Saint Clair Shores MI 48080-4412 |
| Practice Telephone | 5867763666 |
| Practice Fax Number | 5867763369 |
| Mailing Telephone | 5867763666 |
| Mailing Fax Number | 5867763369 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
RB008826 | MI | Behavioral Health & Social Service Providers |
| Street Address |
19900 E 10 MILE RD STE 102 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497776025 | Cheryl M Mazzara | Psychiatry & Neurology | 19900 E 10 Mile Rd Ste 102, Saint Clair Shores, MI 48080-4412 | 2006-07-21 |
| 1194831305 | Patricia Koester Dickson | Psychologist | 19900 E 10 Mile Rd Ste 102, Saint Clair Shores, MI 48080-4412 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
| 1801102744 | Michigan Psychological, P.C. | Psychologist | 27941 Harper Ave, Suite 105, Saint Clair Shores, MI 48081-1535 | 2010-08-30 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DR. RONALD HAROLD BOARDWAY.
| 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.