MARY E THEISEN-GOODVICH


Address: 325 E Eisenhower Pkwy Ste 300, Ann Arbor, MI 48108-3439
Phone: 7349367175

MARY E THEISEN-GOODVICH (NPI# 1003988528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003988528
Entity Type Individual
Full Name MARY E THEISEN-GOODVICH
Credential PHD
Practice Address 325 E Eisenhower Pkwy Ste 300
Ann Arbor
MI 48108-3439
Mailing Address 3621 S State St
Ann Arbor
MI 48108-1633
Practice Telephone 7349367175
Mailing Telephone 7346475299
Enumeration Date 2006-11-14
Last Update Date 2020-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 6301009981 MI Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
6301009981 MI Behavioral Health & Social Service Providers

Office Location

Street Address 325 E EISENHOWER PKWY STE 300
City ANN ARBOR
State MI
Zip Code 48108-3439

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City ANN ARBOR
Zip Code 48108

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Dataset Information

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.

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