DR. LARA N COUGHLIN (NPI# 1003443177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003443177 |
| Entity Type | Individual |
| Full Name | DR. LARA N COUGHLIN |
| Credential | PHD |
| Practice Address |
4250 Plymouth Rd Ann Arbor MI 48109-2700 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7347646443 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 6301018188 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301018188 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4250 PLYMOUTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820230 | Bernard Joseph Biermann | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2005-09-06 |
| 1083234108 | Syma Khan | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-04-18 |
| 1215561311 | Heather E Dakki | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-02-27 |
| 1942845813 | David Marc Fresco | Psychologist | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-11-14 |
| 1992350482 | Greta Bielaczyc Raglan | Psychologist | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-08-02 |
| 1730648924 | Kathleen Ann Durkin | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-03-18 |
| 1922564681 | Chasity Lynn Jensen | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-02-18 |
| 1134685142 | David James Fulkerson | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-02-14 |
| 1780156836 | Michelangelo Trujillo | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2018-12-28 |
| 1902316433 | Laurin Nicole Tuxbury-elliott | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2017-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925685 | Davia Steinberg Ogg, Ph.d., LLC | Psychologist | 300 N 5th Ave Ste 200, Ann Arbor, MI 48104-1447 | 2020-09-01 |
| 1730798794 | Joshua Kay | Psychologist | 308 Arbana Dr, Ann Arbor, MI 48103-3706 | 2020-07-27 |
| 1295344216 | Aaron Sedlar | Psychologist | 2500 Packard St Ste 104a, Ann Arbor, MI 48104-6827 | 2020-07-27 |
| 1992320071 | Gohar Psychological Services, Pllc | Psychologist | 321 S Main St Ste 212, Ann Arbor, MI 48104-2128 | 2020-06-15 |
| 1578187688 | Richard Reinsmith | Psychologist | 1420 Iroquois Pl, Ann Arbor, MI 48104-4638 | 2020-06-04 |
| 1063991594 | Abadi Psychology, Pllc | Psychologist | 2350 Washtenaw Ave Ste 7, Ann Arbor, MI 48104-4525 | 2018-08-07 |
| 1982196523 | Karen Gottschalk Psychotherapy | Psychologist | 2350 Washtenaw Ave Ste 7g, Ann Arbor, MI 48104-4532 | 2018-05-30 |
| 1386133973 | Judy Seldin Psychotherapy, Plc | Psychologist | 2350 Washtenaw Ave Ste 7e, Ann Arbor, MI 48104-4532 | 2018-05-09 |
| 1356839351 | Adam Lafave | Psychologist | 3830 Packard St Ste 280, Ann Arbor, MI 48108-2276 | 2018-04-25 |
| 1841797941 | Integrated Counseling LLC | Psychologist | 2311 E Stadium Blvd Ste B5, Ann Arbor, MI 48104-4803 | 2018-04-06 |
| Find all providers in ANN ARBOR | ||||
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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.