MS. ANDREA MARY MOBILIO (NPI# 1982724837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982724837 |
| Entity Type | Individual |
| Full Name | MS. ANDREA MARY MOBILIO |
| Credential | MD |
| Practice Address |
4125 Washtenaw Ave Ann Arbor Ann Arbor MI 48108-1003 |
| Mailing Address |
555 Towner St Po Box 915 Ypsilanti MI 48198-5752 |
| Practice Telephone | 7349734343 |
| Practice Fax Number | 7349734484 |
| Mailing Telephone | 7345443000 |
| Mailing Fax Number | 7345446732 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2012-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301080412 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301080412 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 750910468 | 01 |
| MI | 5304519 | 05 |
| Street Address |
4125 WASHTENAW AVE ANN ARBOR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699828293 | Martha Hashimoto | Psychiatry & Neurology | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2007-01-19 |
| 1275945503 | Alexandra Bickel | Social Worker | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2014-05-21 |
| 1598100026 | Norma Garcia | Social Worker | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2013-05-10 |
| 1174875108 | Dawn Colleen Leimstoll | Social Worker | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2012-10-15 |
| 1023363181 | Catherine Elizabeth Starr | Social Worker | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2012-07-16 |
| 1528332418 | Derrick L Padgett | Social Worker | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2012-02-24 |
| 1902186604 | Karen M Burnett | Social Worker | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2011-08-25 |
| 1043406226 | Sara Lynn Kurtz | Counselor | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2007-09-20 |
| 1659418457 | Susan Marie Barrow | Social Worker | 4125 Washtenaw Ave, Ann Arbor, MI 48108-1003 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992951693 | Saadia Nosheen | Psychiatry & Neurology | 4250 Plymouth Rd Spc 5766, University of Michigan, Department of Psychiatry, Ann Arbor, MI 48109-2700 | 2008-08-13 |
| 1396760633 | Ellen Smith Grosh | Psychiatry & Neurology | 2020 Hogback Rd Ste 15, Ann Arbor, MI 48105-9752 | 2006-07-13 |
| 1740525765 | Bassem H Krayem | Psychiatry & Neurology | 4250 Plymouth Rd, Rm 1239, Ann Arbor, MI 48109-2700 | 2012-12-03 |
| 1972829174 | Robert Sain | Psychiatry & Neurology | 3300 Washtenaw Ave, Suite 275, Ann Arbor, MI 48104-4200 | 2010-04-13 |
| 1861723215 | Sushma Gunturu | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2010-01-25 |
| 1376799403 | Sneha Sastry | Psychiatry & Neurology | 2750 S State St, Ann Arbor, MI 48104-6179 | 2008-08-08 |
| 1285744359 | Harvey H. Falit, M.d., P.C. | Psychiatry & Neurology | 505 E Huron St, Suite # 305 A, Ann Arbor, MI 48104-1573 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
| 1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
| 1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
| 1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
| 1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
| 1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
| 1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
| 1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
| Find all providers with the same taxonomy | ||||
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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.