PAMELA VACCARELLI (NPI# 1073672200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073672200 |
| Entity Type | Individual |
| Full Name | PAMELA VACCARELLI |
| Practice Address |
4986 N Adams Rd Rochester MI 48306-1416 |
| Mailing Address |
325 Timber Trl Apt 308 Auburn Hills MI 48326-1197 |
| Practice Telephone | 2484754880 |
| Mailing Telephone | 3139201165 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301009087 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4986 N ADAMS RD |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48306-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792168 | Country Creek Pediatrics, Pllc | Pediatrics | 4986 N Adams Rd, Suite C, Rochester, MI 48306-1416 | 2006-03-08 |
| 1831665892 | Nicole Briggs | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-17 |
| 1053896225 | Erica Anne Ross | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-03 |
| 1952886376 | Katherine Marlinga | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-02 |
| 1851876353 | Kathryn Correll | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-10-01 |
| 1609372010 | Yang Yang | Health Educator | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-04-04 |
| 1245739960 | Andrea Mary Venettis | Nurse Practitioner | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-02-08 |
| 1891293973 | Carolynne Coleman | Registered Nurse | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2018-01-24 |
| 1346763885 | Evon Kashat | Family Medicine | 4986 N Adams Rd, Rochester, MI 48306-5017 | 2017-07-17 |
| 1609317981 | Lusilda Agolli | Community Health Worker | 4986 N Adams Rd, Suite D, Rochester, MI 48306-5017 | 2017-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750887188 | Richard Beck | Health Educator | 4986 N Adams Rd Suite D, Rochester, MI 48306 | 2018-04-04 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| 1598268096 | Janet Miller Kniahymycky | Counselor | 3680 Edinborough Drive, Rochester Hills, MI 48306 | 2018-03-12 |
| 1477076750 | Laura Beth Leblanc | Dietitian, Registered | 4859 Freer Street, Rochester, MI 48306 | 2017-07-19 |
| 1477909141 | Danielle Monette | Technician, Other | 1918 Watson Circle, Rochester, MI 48306 | 2016-05-11 |
| 1881053254 | Autumn Fick | Social Worker | 3901 Beaubein Blvd, Children's Hospital of Mi, Detroit, MI 48306 | 2016-02-15 |
| 1538569959 | Margaret Smyth | Registered Nurse | 4986 Adams Rd, Suite D, Rochester, MI 48306 | 2014-09-04 |
| 1730433178 | Kendall Rose Lalko | Dietitian, Registered | 4986 Adams Road, Rochester, MI 48306 | 2012-11-07 |
| 1558691378 | Juliet Rachal Cumming | Residential Treatment Facility, Physical Disabilities | 2728 Partridge Dr., Rochester, MI 48306 | 2009-12-29 |
| 1073780300 | Cynthia Jean Gardiner | Pharmacist | 6970 N Rochester Rd, Rochester, MI 48306 | 2008-05-15 |
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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 |
|---|---|---|---|---|
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1780230060 | Madeline August | Psychologist | 291 Plymouth Ave S Apt 6, Rochester, NY 14608-2238 | 2019-08-13 |
| 1568902682 | Katlyn D Rice | Psychologist | 200 E River Rd Fl 3, Rochester, NY 14623-1212 | 2017-03-08 |
| 1891231916 | Alisa K. Phelps, Ph.d., Psychologist, Pllc | Psychologist | 697 Highland Ave, Rochester, NY 14620-3119 | 2017-01-12 |
| 1578967956 | Mary Frances Maida | Psychologist | 25 Canterbury Rd Ste 307, Rochester, NY 14607-3403 | 2014-10-14 |
| 1689085037 | Carrie Gleason | Psychologist | 900 W University Dr Ste B-3, Rochester, MI 48307-1817 | 2014-05-19 |
| 1043561335 | Ken Wadum, Ed.d. Lp | Psychologist | 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902-4286 | 2012-09-26 |
| 1477839223 | Trica L. Peterson | Psychologist | 675 Panorama Trl W, Suite 12, Rochester, NY 14625-2406 | 2011-10-25 |
| 1477866176 | Janette Lynn Funk | Psychologist | 1577 South Ave, Rochester, NY 14620-3914 | 2010-07-22 |
| 1174835714 | Barefootsouls-com Inc | Psychologist | 226 1st St, Rochester, MI 48307-2600 | 2010-07-12 |
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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.