DR. BRETT CORNELL VANTOL


Address: 3960 Patient Care Way, Suite 104, Lansing, MI 48911-4275
Phone: 5178879801

DR. BRETT CORNELL VANTOL (NPI# 1942389481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942389481
Entity Type Individual
Full Name DR. BRETT CORNELL VANTOL
Credential PHD
Practice Address 3960 Patient Care Way
Suite 104
Lansing
MI 48911-4275
Practice Telephone 5178879801
Practice Fax Number 5178879826
Mailing Telephone 5178879801
Mailing Fax Number 5178879826
Enumeration Date 2006-11-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 6301008897 MI Behavioral Health & Social Service Providers
X 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
X 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers
X 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers

Office Location

Street Address 3960 PATIENT CARE WAY
SUITE 104
City LANSING
State MI
Zip Code 48911-4275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245203645 Ghiulser Selim Family Medicine 3960 Patient Care Way, Suite 108, Lansing, MI 48911-4275 2006-02-08
1528472008 Tarsha Gibson Counselor 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2014-06-12
1407279201 Anne Nesvacil Jones Counselor 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2014-01-29
1356764617 Mary Hunter Counselor 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2014-01-22
1023449444 Demarcus Evans Social Worker 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2013-12-11
1982039798 Meghan Diane Banks Counselor 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2013-09-11
1437591286 T'shara Cannon Counselor 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2013-07-22
1902244361 Amelia Louise Shelton Counselor 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2013-06-07
1154688943 Capital Home Care, Inc. Home Health 3960 Patient Care Way, Suite 116, Lansing, MI 48911-4275 2012-04-18
1285907899 Professional Associates In Rehabilitation LLC Counselor 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 2012-02-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154943603 Promissa Personalized Care Services LLC Assisted Living Facility 200 E Edgewood Blvd, Lansing, MI 48911 2020-05-07
1457911877 Zachary Todd Goldstein Pediatrics Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 2019-06-18
1447713946 Fadi Nuseibeh Pharmacist 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 2019-04-11
1740704543 Kyle Lardie Dental Hygienist Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 2017-08-02
1124549845 Joash Michael Charles Behavior Technician 3720 Richmond Street, Lansing, MI 48911 2017-07-03
1205212164 Benjamin Curtis Neal Dentist 5601 S Cedar St., Lansing, MI 48911 2015-08-03
1376927608 Heather Lamb Home Health 2919 Risdale St, Lansing, MI 48911 2015-07-16
1669861712 Lucas James Evan Joseph Bila Licensed Practical Nurse 2204 S. Wadsworth Dr, Lansing, MI 48911 2015-01-13
1649695271 Aaron James Hart Occupational Therapist 3960 Patient Care Dr Ste 117, Lansing, MI 48911 2014-02-18
1831465871 Los Equipment Corporation Dentist 6810 S. Cedar St, Suite 5, Lansing, MI 48911 2012-03-23
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154952224 Nicha Amy Nasamran Psychologist 2929 Covington Ct Unit 201, Lansing, MI 48912-4940 2020-01-28
1326447020 Saving Lives Inc. Psychologist 17125 Bernadine St, Lansing, IL 60438-1473 2014-08-19
1700177227 A New Hope Counseling Center Psychologist 3815 W St Joe St Ste A400, Lansing, MI 48917-5600 2011-05-02
1700073228 Hilton Tellis Thomas Psychologist 302 S Waverly Rd, Suite 1, Lansing, MI 48917-3631 2007-09-28
1144373812 Mark Cannizzaro Psychologist 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 2007-01-18
1114083870 Winfred Joseph Smith Psychologist 913 W Holmes Rd Ste 143b, Lansing, MI 48910-0435 2006-12-28
1881762250 Ronald Dale Fandrick Psychologist 3815 W Saint Joseph St Ste A400, Lansing, MI 48917-5600 2006-12-01
1679641583 Patricia Resek Longan Psychologist 6500 Centurion Drive, Suite 260, Lansing, MI 48917-8240 2006-11-30
1346335890 Roberta Tekotte Hale Psychologist 1540 Lake Lansing Rd., Suite 101, Lansing, MI 48912 2006-10-03
1467552901 Richard Henry Thornes Psychologist 1020 S Creyts Rd Ste 307, Lansing, MI 48917-8236 2006-09-24
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Competitor

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City LANSING
Zip Code 48911

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Dataset Information

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.

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