DR. MICHAEL CHARLES ANTON (NPI# 1104346402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104346402 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CHARLES ANTON |
| Credential | PSY.D., LLP |
| Practice Address |
7800 W Outer Dr Ste 300 Detroit MI 48235-3458 |
| Mailing Address |
9919 Shadyside St Livonia MI 48150-2715 |
| Practice Telephone | 3133404442 |
| Mailing Telephone | 7348378374 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
178.008499 | IL | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 6301017108 | MI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301017108 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578669198 | Michael Thomas Anton | Psychologist | 700 W Forest Ave Ste 200, Jackson, TN 38301-3940 | 2006-09-15 |
| 1437266343 | Michael Anton | Physical Therapist | 255 N Main St, Bristol, CT 06010-4972 | 2006-08-24 |
| 1639182744 | Michael John Anton | Dentist | 595 E Medical Center Blvd, Webster, TX 77598-4326 | 2006-08-14 |
| 1740284371 | Michael E. Anton | Radiology | 1120 Kanawha Blvd E, Charleston, WV 25301-2400 | 2005-06-10 |
| Street Address |
7800 W OUTER DR STE 300 |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629233952 | Sandra Duque | Social Worker | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2008-07-25 |
| 1598372187 | Marykelly Wallace | Occupational Therapist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-09-28 |
| 1124633003 | Shannon Jessica Jason | Case Manager/Care Coordinator | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-09-09 |
| 1518577121 | Sarah Downey | Occupational Therapist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-08-07 |
| 1548878408 | Andrea Lynne Schmitt | Speech-Language Pathologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-07-16 |
| 1124646310 | Torey M. Mcnally | Speech-Language Pathologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-07-14 |
| 1205468006 | Jacob C Clark | Occupational Therapy Assistant | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-02-10 |
| 1750912416 | Janice Nicole Tillmon | Social Worker | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-01-31 |
| 1104469303 | Sherisa Renell Mcdonald | Psychologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2019-10-21 |
| 1558915744 | William Newman | Contractor | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2019-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
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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 |
|---|---|---|---|---|
| 1285129221 | Wayne State University | Psychologist | 540 E Canfield St Ste 1241, Detroit, MI 48201 | 2018-06-22 |
| 1508362922 | Claudia Anagurthi | Psychologist | Chm/specilty Center, 3950 Beaubien Ground Fl, Detroit, MI 48201 | 2018-04-04 |
| 1992136295 | Marilyn Franklin | Psychologist | 9000 E Jefferson Ave Apt 28-17, Detroit, MI 48214-2940 | 2013-12-12 |
| 1144669318 | Julia Helene Bellamy | Psychologist | 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 | 2013-06-20 |
| 1255675005 | Nicole Henriksen | Psychologist | 4201 Saint Antoine St Ste 4b, Detroit, MI 48201 | 2012-11-17 |
| 1093061517 | Kinneta Easter Mason | Psychologist | 19738 Fielding St, Detroit, MI 48219 | 2012-08-02 |
| 1376859785 | Eugene Ronald Craig | Psychologist | 300 Riverfront Dr, Suite 16 H, Detroit, MI 48226-4516 | 2010-08-23 |
| 1902126725 | Dana Raquel Lasenby | Psychologist | 3434 Russell St, Suite #307, Detroit, MI 48207-2062 | 2010-06-03 |
| 1699004614 | Monica Anne Moore | Psychologist | 18940 Oak Dr, Detroit, MI 48221-2264 | 2009-12-22 |
| 1750610796 | Sekai Denard Broaden | Psychologist | 14952 Rosemont Ave, Detroit, MI 48223-2364 | 2009-12-22 |
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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.