JOHN WILLIAM POLISKEY (NPI# 1972069789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972069789 |
| Entity Type | Individual |
| Full Name | JOHN WILLIAM POLISKEY |
| Credential | LLMFT |
| Practice Address |
1777 Axtell Dr Ste 100 Troy MI 48084-4400 |
| Mailing Address |
201 Wager St Manchester MI 48158-9684 |
| Practice Telephone | 2486135377 |
| Mailing Telephone | 2482128295 |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2019-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 4101006819 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Wager St, Manchester, MI 481589684 | 2482128295 |
| Street Address |
1777 AXTELL DR STE 100 |
| City | TROY |
| State | MI |
| Zip Code | 48084-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992971493 | Somerset Therapy Center | Chiropractor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2008-05-05 |
| 1740881044 | Angelia Evangelista | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-11-03 |
| 1861092280 | Paige Moore | Social Worker | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-26 |
| 1518566975 | Casey Lynn Webb | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
| 1619576006 | Evelyn Stilwell | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
| 1699374058 | Stefanie Kloiber | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-17 |
| 1447859871 | Heather Weise | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-16 |
| 1588270904 | Rita Colleen Burd | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-21 |
| 1790390458 | Takween Dwaik | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-10 |
| 1265044556 | Mark Peyton Blanchard | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962961771 | Kendra Hathaway | Marriage & Family Therapist | 1777 Axtell Dr Ste 107, Troy, MI 48084-4400 | 2019-03-19 |
| 1124598800 | Vanessa Bever | Marriage & Family Therapist | 406 Fulton St Ste 509, Troy, NY 12180-3359 | 2018-11-26 |
| 1760938641 | Christopher Ryan Mcdaniel | Marriage & Family Therapist | 1777 Axtell Dr Ste 101, Troy, MI 48084-4400 | 2016-08-30 |
| 1407139942 | Christopher Rawlings | Marriage & Family Therapist | 31733 South Fork Road, Troy, MT 59935 | 2011-09-21 |
| 1528368206 | Cynthia Ellen Holloway | Marriage & Family Therapist | 1178 Pond View Dr, Troy, OH 45373-7611 | 2010-10-27 |
| 1750925707 | Silvia Gisela Leija | Marriage & Family Therapist | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2019-11-03 |
| 1013566496 | Rachel Blanchette | Marriage & Family Therapist | 1777 Axtell Dr, Troy, MI 48084-4404 | 2019-09-08 |
| 1235790817 | Birch Ryder Snogles | Marriage & Family Therapist | 1777 Axtell Dr, Troy, MI 48084-4404 | 2019-06-25 |
| 1679064984 | Jordan Tyler Dewitt | Marriage & Family Therapist | 227 N Main St, Troy, NC 27371-3058 | 2018-05-22 |
| 1023507969 | Megan Lynn Safford Nishibori | Marriage & Family Therapist | 850 Stephenson Hwy, Troy, MI 48083-1152 | 2018-05-07 |
| Find all providers in TROY | ||||
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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.