DR. JEAN GUST (NPI# 1033158514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033158514 |
| Entity Type | Individual |
| Full Name | DR. JEAN GUST |
| Credential | PH.D. |
| Practice Address |
650 Griswold St Northville MI 48167-1666 |
| Practice Telephone | 2484703346 |
| Practice Fax Number | 2489120208 |
| Mailing Telephone | 2484703346 |
| Mailing Fax Number | 2489120208 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301009874 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD MI | 680F332900 | 01 |
| Street Address |
650 GRISWOLD ST |
| City | NORTHVILLE |
| State | MI |
| Zip Code | 48167-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639634520 | Aaron Obrien | Social Worker | 650 Griswold St, Northville, MI 48167-1666 | 2019-02-05 |
| 1700368305 | Courtney Megan Thurston | Counselor | 650 Griswold St, Northville, MI 48167-1666 | 2018-08-30 |
| 1750886602 | Iliana Pantoleon | Psychologist | 650 Griswold St, Northville, MI 48167-1666 | 2018-03-23 |
| 1750809497 | Megan Morris | Psychologist | 650 Griswold St, Northville, MI 48167-1666 | 2017-09-01 |
| 1073974978 | Tara A Baluck | Psychologist | 650 Griswold St, Northville, MI 48167-1666 | 2016-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277873 | Kathleen Mary Vollman | Nursing Care | 21091 Boulder Cir, Northville, MI 48167 | 2019-04-02 |
| 1851877211 | Saleh Medical Innovations Consulting Plc | Clinic/Center | 9308 Hickory Ridge Road, Northville, MI 48167 | 2018-07-18 |
| 1811488877 | Carrie Millis Babe | Marriage & Family Therapist | 23095 Kirkland Ct, Northville, MI 48167 | 2018-05-25 |
| 1134671761 | Richard Roff | Technician, Other | 3253 Lancaster Ln, Northville, MI 48167 | 2016-10-31 |
| 1508241613 | Naastar Enterprises, LLC | Non-emergency Medical Transport (VAN) | 20871 W. Glen Haven Circle, Novi, MI 48167 | 2015-07-30 |
| 1396159083 | Traci L Rasor | Registered Nurse | 143 Cadycentre Unit 250, Northville, MI 48167 | 2014-06-20 |
| 1932459930 | Amanda Lea Williams | Nurse Practitioner | 44300 Five Mile Rd, Northville Twp, MI 48167 | 2012-09-17 |
| 1346505914 | Richard Thomas Mac Laren | Emergency Medicine | 51920 8 Mile Road, Northville, MI 48167 | 2012-07-10 |
| 1053647818 | Mark S. Hunter, D.m.d. P.l.c. | Dentist | 149 N. Center, Suite 101, Northville, MI 48167 | 2009-10-28 |
| 1437384088 | Maria Conley | Dietitian, Registered | 40000 West 8 Mile Rd, Northville, MI 48167 | 2009-05-27 |
| Find all providers in zip 48167 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1962038695 | Steven K Huprich Phd Plc | Psychologist | 107 E Main St Ste 204, Northville, MI 48167-1566 | 2020-03-13 |
| 1578194486 | Dr Beth Rutkowski, Lp Pllc | Psychologist | 45555 Tournament Dr, Northville, MI 48168-8476 | 2020-01-29 |
| 1578963336 | Megan Meade-higgins | Psychologist | 9515 Hickory Ridge Rd, Northville, MI 48167-9114 | 2014-08-29 |
| 1467899666 | Imagine Center LLC | Psychologist | 100 Maincentre, Ste. 16, Northville, MI 48167-1578 | 2013-05-29 |
| 1801083183 | Psychotherapy & Counseling Services, Inc. | Psychologist | 640 Griswold St, Ste 300, Northville, MI 48167 | 2007-10-01 |
| 1215056452 | David Alan Rigo | Psychologist | 215 E Main St Ste 201, Northville, MI 48167-1686 | 2007-03-28 |
| 1639119183 | Eric L Beshears | Psychologist | 18471 Haggerty Rd, Northville, MI 48168-8513 | 2006-06-06 |
| 1831797349 | Angela M Tiemeyer | Psychologist | 315 N Center St, Northville, MI 48167-1277 | 2020-10-16 |
| 1356983886 | Kate Elizabeth Dykhuis | Psychologist | 120 W Main St Ste 207, Northville, MI 48167-1584 | 2019-10-16 |
| Find all providers in NORTHVILLE | ||||
| City | NORTHVILLE |
| Zip Code | 48167 |
Please comment or provide details below to improve the information on DR. JEAN GUST.
| 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.