DR. IDA ZEKTICK ZACK (NPI# 1932144433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932144433 |
| Entity Type | Individual |
| Full Name | DR. IDA ZEKTICK ZACK |
| Credential | PH.D. |
| Practice Address |
217 Knowles St Royal Oak MI 48067-2767 |
| Mailing Address |
6352 Pepper Hill St West Bloomfield MI 48322-2303 |
| Practice Telephone | 2485393634 |
| Practice Fax Number | 2485465090 |
| Mailing Telephone | 2485393634 |
| Mailing Fax Number | 2485465090 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301001930 | MI | Behavioral Health & Social Service Providers |
| Street Address |
217 KNOWLES ST |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700447075 | Meaningful Psychotherapy LLC | Social Worker | 217 Knowles St, Royal Oak, MI 48067-2767 | 2019-06-26 |
| 1336575802 | Shoshana Katz Phd Pllc | Psychologist | 217 Knowles St, Royal Oak, MI 48067-2767 | 2013-09-17 |
| 1407107154 | Family Therapy and Recovery Associates, LLC | Social Worker | 217 Knowles St, Suite 260, Royal Oak, MI 48067-2767 | 2012-09-20 |
| 1225349608 | Donald H. Wilson | Psychologist | 217 Knowles St, Suite 120, Royal Oak, MI 48067-2767 | 2010-06-30 |
| 1124348362 | Ida Zektick Zack Phd Pllc | Psychologist | 217 Knowles St, Suite 100, Royal Oak, MI 48067-2767 | 2010-06-10 |
| 1184943318 | Shil Sengupta | Social Worker | 217 Knowles St, Royal Oak, MI 48067-2767 | 2010-05-27 |
| 1740512979 | Stephanie Williams, Phd, Lp, Pllc | Psychologist | 217 Knowles St, Royal Oak, MI 48067-2767 | 2010-02-14 |
| 1073752325 | Sheri Moskowitz Noga | Social Worker | 217 Knowles St, Royal Oak, MI 48067-2767 | 2009-02-10 |
| 1457542946 | James Keillor Phd PC | Psychologist | 217 Knowles St, Suite 110, Royal Oak, MI 48067-2767 | 2007-08-08 |
| 1033249479 | Pamela Livingston | Counselor | 217 Knowles St, Royal Oak, MI 48067-2767 | 2007-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
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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 |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1760934525 | All-heart Behavioral Health | Psychologist | 418 N Main St Ste 100, Royal Oak, MI 48067-1813 | 2016-10-27 |
| 1811331481 | Jennifer Marie Karew | Psychologist | 905 S. Center St, Royal Oak, MI 48067 | 2013-04-25 |
| 1104162379 | Dustin Keith Shepler | Psychologist | 313 W La Salle Ave, Royal Oak, MI 48073-2556 | 2012-12-17 |
| 1255602645 | Destiny Dorozan | Psychologist | 1318 Bauman Ave., Royal Oak, MI 48073 | 2012-01-18 |
| 1346518503 | Janet Gilchrist Jordan Phd Pllc | Psychologist | 628 E Parent Ave Ste 109, Royal Oak, MI 48067-3766 | 2011-12-02 |
| 1821396979 | Scott D Webster | Psychologist | 1920 Guthrie Ave, Royal Oak, MI 48067-3586 | 2011-03-13 |
| 1588992499 | Ban Abbo | Psychologist | 27172 Woodward Ave Ste 200, Royal Oak, MI 48067-0965 | 2009-12-04 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1316047905 | Gregg A Pizzi Psy D & Associates Pllc | Psychologist | 432 S Washington Ave, Suite 1207, Royal Oak, MI 48067-3854 | 2006-09-23 |
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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.