MRS. TYANNE LYNN MISKOV (NPI# 1962551705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962551705 |
| Entity Type | Individual |
| Full Name | MRS. TYANNE LYNN MISKOV |
| Credential | MA, LLP, CAADC |
| Practice Address |
269 Summit Dr Waterford MI 48328-3364 |
| Practice Telephone | 2487063450 |
| Practice Fax Number | 2487063455 |
| Mailing Telephone | 2487063450 |
| Mailing Fax Number | 2487063455 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301013466 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4483587 | 05 |
| Street Address |
269 SUMMIT DR |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881151017 | Lisa Farrell-byrski | Social Worker | 269 Summit Dr, Waterford, MI 48328-3364 | 2019-02-25 |
| 1700373081 | Annamarie Till | Counselor | 269 Summit Dr, Waterford, MI 48328-3364 | 2018-04-23 |
| 1144720111 | Ashley Nicole Keehn | Counselor | 269 Summit Dr, Waterford, MI 48328-3364 | 2018-02-16 |
| 1700324548 | Biomed Behavioral Health | PACE Provider Organization | 269 Summit Dr, Waterford, MI 48328-3364 | 2017-02-01 |
| 1700216405 | Community Network Community | Community/Behavioral Health | 269 Summit Dr, Waterford, MI 48328-3364 | 2013-11-15 |
| 1033463922 | Laura Ibarra | Counselor | 269 Summit Dr, Waterford, MI 48328-3364 | 2012-10-31 |
| 1811249063 | Rocio Margarita Linck | Psychologist | 269 Summit Dr, Waterford, MI 48328-3364 | 2012-10-12 |
| 1184970493 | Nicole Sumner | Social Worker | 269 Summit Dr, Waterford, MI 48328-3364 | 2012-07-24 |
| 1992077028 | Christa Renee Comer | Counselor | 269 Summit Dr, Waterford, MI 48328-3364 | 2012-02-06 |
| 1316229941 | Huri Aaron Kushner | Counselor | 269 Summit Dr, Waterford, MI 48328-3364 | 2011-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| 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 |
|---|---|---|---|---|
| 1891031381 | Katherine Ann Lewitzke | Psychologist | 6913 Fox Ln, Waterford, MI 48327-3506 | 2013-01-02 |
| 1235388836 | Katherine Lulgjuraj | Psychologist | 329 Beverly Estates Dr, Waterford, MI 48328-3674 | 2008-09-18 |
| 1245450915 | Sharon Alair Bergman | Psychologist | 4826 Rossiter Ave, Waterford, MI 48329-1755 | 2007-04-26 |
| 1528173184 | John P Quarton PC | Psychologist | 7508 Pontiac Lake Rd, Waterford, MI 48327-1425 | 2006-08-21 |
| 1528174935 | Arlene B Werner | Psychologist | 567 Vauxhall Street Ext Ste 207, Waterford, CT 06385-4332 | 2006-08-21 |
| 1962480822 | Patricia Armstrong | Psychologist | 4170 Pontiac Lake Rd, Waterford, MI 48328-1254 | 2006-01-02 |
| 1063927085 | Bright Pine, Inc. | Psychologist | 6913 Fox Ln, Waterford, MI 48327-3506 | 2017-12-13 |
| 1811249063 | Rocio Margarita Linck | Psychologist | 269 Summit Dr, Waterford, MI 48328-3364 | 2012-10-12 |
| 1386782761 | Peter Hunt | Psychologist | 567 Vauxhall Street Ext, Suite218, Waterford, CT 06385-4330 | 2007-02-01 |
| 1871644369 | Nina P Rossomando | Psychologist | 567 Vauxhall Street Ext, Suite 317, Waterford, CT 06385-4330 | 2007-01-13 |
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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.