DR. JOHN BRADLEY CARROLL (NPI# 1952549891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952549891 |
Entity Type | Individual |
Full Name | DR. JOHN BRADLEY CARROLL |
Credential | PH.D. |
Practice Address |
31500 W 13 Mile Rd #111 Farmington Hills MI 48334-2164 |
Mailing Address |
Po Box 2689 2311 E. Stadium Blvd Ann Arbor MI 48106-2689 |
Practice Telephone | 2488559220 |
Practice Fax Number | 2488553866 |
Mailing Telephone | 7347619835 |
Mailing Fax Number | 2488553866 |
Enumeration Date | 2009-01-30 |
Last Update Date | 2009-01-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
6301007077 | MI | Behavioral Health & Social Service Providers |
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS OF MICHIGAN | 68-0-F3-3086-0 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043853658 | John Carroll | Marriage & Family Therapist | 400 W 23rd St Apt 5j, New York, NY 10011-2176 | 2019-10-26 |
1376852301 | John Carroll | Emergency Medicine | 2727 W Heading Ave, West Peoria, IL 61604-4981 | 2010-09-24 |
1417151440 | John Raymond Carroll | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd, Udp At Umdnj-som, Dept. of Family Medicine, Rm 2100, Stratford, NJ 08084 | 2007-06-13 |
1396869210 | John Francis Carroll | Pediatrics | 108 Canal Walk Blvd, Somerset, NJ 08873-7277 | 2007-03-17 |
1508946054 | John T Carroll | Podiatrist | 455 Boston Post Rd Ste 8, Old Saybrook, CT 06475-1554 | 2006-10-17 |
1457379042 | John Thomas Carroll | Obstetrics & Gynecology | 503 Thornhill Dr, Carol Stream, IL 60188-2780 | 2006-07-18 |
1952340069 | John L Carroll | Dentist | 1020 5th St Se, Winter Haven, FL 33880-4210 | 2006-06-05 |
1063468932 | John Anthony Carroll | Internal Medicine | 8328 E Hartford Dr, Scottsdale, AZ 85255-6520 | 2006-05-25 |
1508811860 | John D Carroll | Internal Medicine | 10689 Hardin Valley Rd, Knoxville, TN 37932-1504 | 2006-05-24 |
1376511717 | John M Carroll | Internal Medicine | 390 Pleasant St, Malden, MA 02148-8114 | 2006-03-10 |
Street Address |
31500 W 13 MILE RD #111 |
City | FARMINGTON HILLS |
State | MI |
Zip Code | 48334-2164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902832579 | First Impressions Health Care Solutions, LLC | Home Health | 31500 W 13 Mile Rd, Suite 210, Farmington Hills, MI 48334-2164 | 2006-06-24 |
1518438332 | Tywanna R Tanner | Nurse Practitioner | 31500 W 13 Mile Rd, Ste 100, Farmington Hills, MI 48334-2172 | 2018-12-06 |
1548792534 | Jinit Shah | Nurse Practitioner | 31500 W 13 Mile Rd, Suite 100, Farmington Hills, MI 48334-2164 | 2017-03-30 |
1942623111 | Perfected Home Care Inc. | Internal Medicine | 31500 W 13 Mile Rd, 104, Farmington Hills, MI 48334-2164 | 2014-01-24 |
1902176266 | Kara Foster | Specialist/Technologist | 31500 W 13 Mile Rd, Farmington Hills, MI 48334-2164 | 2012-01-04 |
1205917028 | Irina Fiksman | Psychiatry & Neurology | 31500 W 13 Mile Rd, Suite 105, Farmington Hills, MI 48334-2164 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
Find all providers in zip 48334 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
1730729930 | Allison Shapiro Cardew | Psychologist | 26105 Orchard Lake Rd, Farmington Hills, MI 48334-4576 | 2020-01-15 |
1790183861 | Allison Shapiro Cardew, LLC | Psychologist | 33493 W 14 Mile Rd, Suite 130, Farmington Hills, MI 48331-1587 | 2014-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184251 | Think To Thrive Psychological Services Pllc | Psychologist | 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 | 2020-11-03 |
1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
1023413853 | Cristovao Bartolo Carreira | Psychologist | 15450 E. Jefferson, Suite 200, Grosse Pointe, MI 48230 | 2014-10-22 |
1518379502 | Steven Louis Rowe | Psychologist | 33464 Schoenherr Rd Ste 180, Sterling Heights, MI 48312-6392 | 2014-05-23 |
Find all providers with the same taxonomy |
City | FARMINGTON HILLS |
Zip Code | 48334 |
Please comment or provide details below to improve the information on DR. JOHN BRADLEY CARROLL.
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.