EBONY LATRESE BERTELSMEYER (NPI# 1003390600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003390600 |
| Entity Type | Individual |
| Full Name | EBONY LATRESE BERTELSMEYER |
| Practice Address |
1450 S Lapeer Rd Oxford MI 48371-6108 |
| Practice Telephone | 4896999322 |
| Practice Fax Number | 2489690840 |
| Mailing Telephone | 2489699932 |
| Mailing Fax Number | 2489690840 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1450 S LAPEER RD |
| City | OXFORD |
| State | MI |
| Zip Code | 48371-6108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857978 | Training & Treatment Innovations Inc | Community/Behavioral Health | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2005-11-14 |
| 1659986362 | Samantha Carol Dorman | Behavior Technician | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-09-09 |
| 1265046056 | Cynthia Marie Scheuer | Behavior Technician | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-08-31 |
| 1912516543 | Kelly Kalanquin | Technician/Technologist | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-07-29 |
| 1487272894 | Jennifer Nicole Mae Lechnyr | Case Manager/Care Coordinator | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-07-13 |
| 1952926446 | Melissa Christine Iacobelli-champion | Registered Nurse | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-06-10 |
| 1639793896 | Robyn Utt | Behavior Technician | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-06-03 |
| 1689295859 | Steven Cory Mcquistion | Case Manager/Care Coordinator | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2020-04-29 |
| 1356985824 | Heather Arnold | Social Worker | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2019-10-29 |
| 1093357899 | Erin Madding | Specialist | 1450 S Lapeer Rd, Oxford, MI 48371-6108 | 2019-10-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164915005 | Robyn Marie Ankawi | Counselor | 930 E Drahner Rd, Oxford, MI 48371 | 2018-06-13 |
| 1225557184 | Laurie Bueche | Social Worker | 1450 S Lapeer Road, Oxford, MI 48371 | 2017-09-12 |
| 1417480708 | Adam Renard Burton | Student in an Organized Health Care Education/Training Program | 801 Vivian Ln, Oxford, MI 48371 | 2017-04-04 |
| 1104378926 | Kayla Lynn Thrushman | Counselor | 2b. S. Washington Ave., Oxford, MI 48371 | 2016-10-27 |
| 1588092191 | J&j Medical, Inc. | Durable Medical Equipment & Medical Supplies | 141 Cheltenham Ln, Oxford, MI 48371 | 2013-10-16 |
| 1801232368 | Angela Mary Ramsey | Social Worker | 1450 N Lapeer Rd, Oxford, MI 48371 | 2013-05-10 |
| 1598040271 | Walgreen Co | Pharmacy | 7110 Dixie Hwy., Clarkston, MI 48371 | 2011-10-13 |
| 1417108945 | Best Value Pharmacy LLC | Pharmacy | 72 S Oxford, Suite 207, Oxford, MI 48371 | 2008-10-02 |
| 1497953533 | Rachel Maryann Klamo | Family Medicine | 72 South Washington St., Suite 204, Oxford, MI 48371 | 2007-07-10 |
| 1528185378 | Gregory Michael Garvin | Preventive Medicine | 760 Woodleigh Way, Oxford, MI 48371 | 2007-03-26 |
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| 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 |
|---|---|---|---|---|
| 1659922979 | Lydia Mae Aldrich | Psychologist | 925 N Lapeer Rd Ste 151, Oxford, MI 48371-6742 | 2019-09-27 |
| 1689028391 | North Mississippi Medical Center, Inc. | Psychologist | 2704 W Oxford Loop # 110, Oxford, MS 38655-5714 | 2016-04-19 |
| 1356689327 | Maha Abu-hamdan | Psychologist | 1753 Deer Path Trl, Oxford, MI 48371-6061 | 2013-01-24 |
| 1790040244 | Rebecca Truax Ma Inc | Psychologist | 307 N 3rd St, Suite 3, Oxford, PA 19363-1429 | 2012-07-11 |
| 1811109408 | Mia Biran | Psychologist | 600 Mcguffey Ave., Oxford, OH 45056-2080 | 2007-05-04 |
| 1619051927 | Merce Caballero | Psychologist | 115 W Walnut St, Oxford, OH 45056-1721 | 2006-10-24 |
| 1821197880 | Terri Lynn Jones | Psychologist | 44 Autumn Dr, Oxford, OH 45056 | 2006-09-22 |
| 1669470266 | Dawn Gventer | Psychologist | 1179 Bellwood Ct, Oxford, MI 48371-6732 | 2005-07-08 |
| 1245767862 | Rj Truax Ma | Psychologist | 330 Limestone Rd, Oxford, PA 19363-1233 | 2017-05-13 |
| 1265979397 | Sage Tree Psychology Group LLC | Psychologist | 925 N Lapeer Rd, Ste 151, Oxford, MI 48371-6742 | 2017-01-26 |
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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.