DR. DANIEL DREVON (NPI# 1982029179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982029179 |
| Entity Type | Individual |
| Full Name | DR. DANIEL DREVON |
| Credential | PH.D. |
| Practice Address |
1101 Health Professions Bldg Mt Pleasant MI 48859-0001 |
| Practice Telephone | 9897743904 |
| Practice Fax Number | 9897741891 |
| Mailing Telephone | 9897743904 |
| Mailing Fax Number | 9897741891 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301015682 | MI | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
6301015682 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1101 HEALTH PROFESSIONS BLDG |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48859-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114008711 | Michael Gordon Stewart | Audiologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2006-10-18 |
| 1003394974 | Annmarie L Bates | Speech-Language Pathologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2018-08-02 |
| 1720529340 | Jamie Haines | Physical Therapist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
| 1376093336 | Michael Brooks | Assistant Behavior Analyst | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2016-10-13 |
| 1700336013 | Christi Owens | Speech-Language Pathologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2016-10-11 |
| 1699223214 | Stephanie Fredrick | Psychologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2016-09-12 |
| 1265880660 | Alissa Vanderlaan | Audiologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2016-05-26 |
| 1982061289 | Seth Whiting | Behavioral Analyst | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2016-01-19 |
| 1073987616 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Ste 2105, Mt Pleasant, MI 48859-0001 | 2015-11-19 |
| 1619352564 | Jill Wisniewski | Physical Therapist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1992852461 | Christina Eyers | Specialist/Technologist | 1172 Hpb, Mt. Pleasant, MI 48859 | 2007-01-05 |
| 1922630763 | Michael Swabash | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859 | 2020-02-10 |
| 1710332440 | Jennifer Barnstable | Speech-Language Pathologist | 301 Williamston Center Rd, Suite 800, Williamston, MI 48859 | 2016-05-02 |
| 1083798540 | Michael Anthony Nerbonne | Audiologist | 1101 Health Professions Building, Mount Pleasant, MI 48859 | 2006-10-24 |
| 1942818919 | Dominique Hope Dimatteo | Specialist/Technologist | 145c Rose Center, Mount Pleasant, MI 48859-0001 | 2020-07-16 |
| 1750913596 | Elizabeth Kay Edson | Student in an Organized Health Care Education/Training Program | 1280 East Camus Dr, Mt Pleasant, MI 48859-0001 | 2020-02-10 |
| 1528617438 | Marlene K Vandyke | Specialist/Technologist | 1203 Health Profession Building, Mt Pleasant, MI 48859-0001 | 2019-09-04 |
| 1093283608 | Sida Bai | Physician Assistant | 1280 E Campus Dr Central Michigan University, Mount Pleasant, MI 48859-0001 | 2018-11-13 |
| Find all providers in zip 48859 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891993135 | Dennis Milton Buck | Psychologist | 907 Crosslanes St, Mt Pleasant, MI 48858-1814 | 2007-07-09 |
| 1205238425 | Michael Hixson | Psychologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-09-18 |
| 1285043760 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820598 | Alexander William Krieg | Psychologist | 31235 Ramble Rd, Franklin, MI 48025-1367 | 2020-10-26 |
| 1699389395 | Linda D Seltzer-sucher Phd LLC | Psychologist | 275 Bryn Mawr St, Birmingham, MI 48009-1501 | 2020-09-01 |
| 1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
| 1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
| 1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
| 1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
| 1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 48859 |
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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.