CARISSA GADEN, PH.D., P.C. (NPI# 1982820957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982820957 |
| Entity Type | Organization |
| Organization Name | CARISSA GADEN, PH.D., P.C. |
| Practice Address |
20816 E 11 Mile Rd Suite 115 Saint Clair Shores MI 48081-1565 |
| Practice Telephone | 5867729390 |
| Practice Fax Number | 5867729390 |
| Mailing Telephone | 5867729390 |
| Mailing Fax Number | 5867729390 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CARISSA GADEN (PRESIDENT) |
| Authorized Official Telephone | 5867729390 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 71020000EO1883 | 01 |
| Street Address |
20816 E 11 MILE RD SUITE 115 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306927603 | Carissa Laura Gaden | Psychologist | 20816 E 11 Mile Rd, Suite 115, Saint Clair Shores, MI 48081-1565 | 2006-10-17 |
| 1649625823 | Sara Rian Marino | Social Worker | 20816 E 11 Mile Rd, Saint Clair Shores, MI 48081-1565 | 2016-04-26 |
| 1518385715 | Beatrice Tyus | Counselor | 20816 E 11 Mile Rd, Suite 101, Saint Clair Shores, MI 48081-1565 | 2014-04-03 |
| 1700181211 | Tracey Torosian, Ph.d., Pllc | Clinic/Center | 20816 E 11 Mile Rd, Suite 112, Saint Clair Shores, MI 48081-1565 | 2011-01-13 |
| 1043514250 | Maria Pappas | Social Worker | 20816 E 11 Mile Rd, Suite 107, Saint Clair Shores, MI 48081-1565 | 2011-01-03 |
| 1639349657 | Creative Psychology Center Inc. | Social Worker | 20816 E 11 Mile Rd, Suite #113, Saint Clair Shores, MI 48081-1565 | 2008-03-05 |
| 1023239662 | Keith Duncan Russell | Social Worker | 20816 E 11 Mile Rd, Suite 113, Saint Clair Shores, MI 48081-1565 | 2007-05-01 |
| 1962531335 | Tracey Torosian | Psychologist | 20816 E 11 Mile Rd, Suite 112, Saint Clair Shores, MI 48081-1565 | 2007-03-03 |
| 1093868093 | Harry Edward Capps | Psychologist | 20816 E 11 Mile Rd, Suite 108, Saint Clair Shores, MI 48081-1565 | 2007-01-21 |
| 1710030721 | Capps Assessment Psychological & Psycho-educational Services, Plc | Psychologist | 20816 E 11 Mile Rd, Suite 108, Saint Clair Shores, MI 48081-1565 | 2007-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| 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 |
|---|---|---|---|---|
| 1346618584 | Ferrari Serrette | Psychologist | 20816 E 11 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1578 | 2015-09-04 |
| 1740531185 | Wigs 4 Kids | Psychologist | 31235 Harper Ave, Saint Clair Shores, MI 48082-1425 | 2012-09-25 |
| 1679867758 | Tara Mchugh | Psychologist | 23125 Greater Mack Ave, Box 195, Saint Clair Shores, MI 48080-9991 | 2011-06-06 |
| 1598096281 | Thomas Eckert | Psychologist | 23550 Harper Ave, Saint Clair Shores, MI 48080-1447 | 2010-01-20 |
| 1740492396 | Susan Boyd | Psychologist | 22811 Greater Mack Ave Ste 108, Saint Clair Shores, MI 48080-2053 | 2007-05-04 |
| 1861582777 | Agnes Ward | Psychologist | 27941 Harper Ave Ste 105, Saint Clair Shores, MI 48081-1535 | 2006-10-13 |
| 1467551283 | Diane Marie Hamilton | Psychologist | 26400 Little Mack Ave, Saint Clair Shores, MI 48081-2154 | 2006-09-21 |
| 1710084801 | Myrtle Charisse Means | Psychologist | 23003 Greater Mack Ave Ste B, Saint Clair Shores, MI 48080-1965 | 2006-09-20 |
| 1467946087 | Christine Kuhl | Psychologist | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2018-06-18 |
| 1669853131 | Phillip Hunter | Psychologist | 23600 Harper Ave, Saint Clair Shores, MI 48080-1445 | 2015-06-10 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.