DR. JERRY KEITH OERMANN (NPI# 1104102227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104102227 |
| Entity Type | Individual |
| Full Name | DR. JERRY KEITH OERMANN |
| Credential | PHD |
| Practice Address |
2221 Livernois Rd., Ste. 101 Troy MI 48083 |
| Practice Telephone | 2485440360 |
| Practice Fax Number | 2485440388 |
| Mailing Telephone | 2485440360 |
| Mailing Fax Number | 2485440388 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
CC-0C1270108595 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2221 LIVERNOIS RD., STE. 101 |
| City | TROY |
| State | MI |
| Zip Code | 48083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477932309 | Kelli Kazmaier | Psychologist | 151 Staunton Rd, Troy, OH 45373-1451 | 2015-05-26 |
| 1528320157 | Craig Robert Hunter | Psychologist | 529 3rd Ave, Troy, NY 12182-2701 | 2012-06-11 |
| 1124418686 | Kathryn Schwab | Psychologist | 2000 W Stanfield Rd, Troy, OH 45373-2572 | 2015-02-04 |
| 1447640107 | Randy Walters | Psychologist | 701 N Market St, Troy, OH 45373-1421 | 2015-02-02 |
| 1609143536 | Kristin Dews | Psychologist | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161347 | Becky Ann Tiret | Psychologist | 6896 Pleasant Ridge Trl, Saginaw, MI 48603-8677 | 2020-07-16 |
| 1366092298 | Cheyne Stresky | Psychologist | 945 Watersedge Ct, Oxford, MI 48371-3682 | 2019-09-12 |
| 1801456819 | Kenneth Michael Pierson | Psychologist | 100 Bowne St Ne, Grand Rapids, MI 49505-4014 | 2019-06-20 |
| 1831675271 | Katlyn Ploss | Psychologist | 43155 Main St Ste 2300g, Novi, MI 48375-1889 | 2018-07-18 |
| 1205320728 | Ashley L Weinert | Psychologist | 27780 Novi Rd Ste 244, Novi, MI 48377-3427 | 2018-06-18 |
| 1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
| 1306336466 | Jeremy Stembridge | Psychologist | 2520 University Park Bldg D, Mount Pleasant, MI 48858-4464 | 2018-05-15 |
| 1396235321 | Robert Dale Wyse | Psychologist | Central Michigan University Sloan Hall 139, Mt Pleasant, MI 48859-0001 | 2018-05-15 |
| 1295231926 | Nina Marie Elmendorf-steele | Psychologist | 8966 Meadow Ln, Berrien Springs, MI 49103-1479 | 2018-04-02 |
| 1114396413 | Heather Marie Martin | Psychologist | 19190 Kinloch, Redford, MI 48240-2602 | 2015-09-17 |
| Find all providers with the same taxonomy | ||||
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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.