MS. JUDITH CANVASSER REDMOND (NPI# 1003947813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003947813 |
Entity Type | Individual |
Full Name | MS. JUDITH CANVASSER REDMOND |
Credential | LLP, LPC, MA |
Practice Address |
441 S Livernois Rd Rochester Hills MI 48307-2584 |
Mailing Address |
35315 Regency Ln Farmington Hills MI 48331-1453 |
Practice Telephone | 2486088800 |
Practice Fax Number | 2486082490 |
Mailing Telephone | 2486615148 |
Mailing Fax Number | 2486082490 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301013138 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | PROFRESSIONAL COUNSELOR L | 6401008645 | 01 |
Street Address |
441 S LIVERNOIS RD |
City | ROCHESTER HILLS |
State | MI |
Zip Code | 48307-2584 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235131160 | Brigitte Lorenz | Obstetrics & Gynecology | 441 S Livernois Rd, #175, Rochester Hills, MI 48307-2584 | 2005-08-11 |
1538670807 | Nicole Eve Blovet | Psychologist | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-10-13 |
1023534609 | Joel L. Young, M.d., P.C. | Clinic/Center | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-08-16 |
1508392796 | Derek Susalla | Physician Assistant | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-05-07 |
1750836102 | Jillian Fortain | Psychologist | 441 S Livernois Rd, Suite 100, Rochester Hills, MI 48307-2584 | 2016-08-15 |
1942655188 | Frances Elizabeth Quail | Counselor | 441 S Livernois Rd, Suite 100, Rochester Hills, MI 48307-2584 | 2016-04-25 |
1770955577 | Wendy Saal | Counselor | 441 S Livernois Rd, Suite 100, Rochester Hills, MI 48307-2584 | 2015-10-20 |
1508236472 | Katy Mason | Social Worker | 441 S Livernois Rd, 100, Rochester Hills, MI 48307-2584 | 2015-10-04 |
1225430085 | Paula Agnello Goldstein | Registered Nurse | 441 S Livernois Rd, Suite 205, Rochester Hills, MI 48307-2584 | 2014-09-23 |
1124447909 | Nancy Tedder | Counselor | 441 S Livernois Rd, Suite 205, Rochester Hills, MI 48307-2584 | 2014-04-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
Find all providers in zip 48307 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043610314 | Nicole Marie-budry Law | Psychologist | 2490 Walton Blvd Ste 201, Rochester Hills, MI 48309-1413 | 2014-08-24 |
1962836890 | Roxanne Marie Christensen | Psychologist | 2490 Walton Blvd Ste 205, Rochester Hills, MI 48309-1413 | 2013-08-27 |
1518140060 | Abh Corporation | Psychologist | 3950 S Rochester Rd Ste 2250, Rochester Hills, MI 48307-5169 | 2007-12-06 |
1376660696 | Jacqueline D. Mcdougal | Psychologist | 2516 Tower Hill Ln, Rochester Hills, MI 48306-3060 | 2007-03-23 |
1255463816 | Cheryl Lyn Smith-winberry | Psychologist | 145 Rochdale Dr S Ste D, Rochester Hills, MI 48309-2275 | 2007-03-09 |
1336299627 | Carol L Rhodes | Psychologist | 3585 Warwick Dr, Rochester Hills, MI 48309-4712 | 2007-01-11 |
1962426130 | James Denison Jones | Psychologist | 2565 S Rochester Rd, Suite 107b, Rochester Hills, MI 48307-4472 | 2006-07-27 |
1598798720 | Mila Velinova | Psychologist | 1349 S. Rochester Rd., Suite 220, Rochester Hills, MI 48307 | 2006-07-09 |
1649215872 | Rita U Antani | Psychologist | 2820 Crooks Rd Ste 100, Rochester Hills, MI 48309-3620 | 2006-06-19 |
1871544874 | Dan Pillow | Psychologist | 200 Diversion St, Suite 150, Rochester Hills, MI 48307-2267 | 2006-05-14 |
Find all providers in ROCHESTER HILLS |
City | ROCHESTER HILLS |
Zip Code | 48307 |
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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.