DEBORAH A RICH (NPI# 1104943265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104943265 |
Entity Type | Individual |
Full Name | DEBORAH A RICH |
Credential | PHD |
Practice Address |
47818 Van Dyke Ave Shelby Township MI 48317-3373 |
Practice Telephone | 5863233620 |
Practice Fax Number | 5863233568 |
Mailing Telephone | 5863233620 |
Mailing Fax Number | 5863233568 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 6301008204 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | STATE LICENSE | 6301008204 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518285352 | Deborah Ann Rich | Speech-Language Pathologist | 107 Meadows Ln, Alexandria, VA 22304-6438 | 2010-05-04 |
1710101290 | Deborah Rich | Psychologist | 1619 Dayton Ave Ste 201, Saint Paul, MN 55104 | 2007-04-13 |
1548206980 | Deborah Arnetta Rich | Emergency Medicine | 12307 Charles Lacey Dr, Manassas, VA 20112-8837 | 2006-06-22 |
1235124090 | Deborah Kaye Rich | Social Worker | 185 E New Hampshire Ave, Southern Pines, NC 28387-5529 | 2005-09-16 |
1316397086 | Deborah Helene Rich | Developmental Therapist | 15309 Blue Fish Cir, Lakewood Ranch, FL 34202-5809 | 2016-06-14 |
1982956876 | Deborah A Rich | Community Health Worker | 100 Mullins Dr, Suite A-1, Lebanon, OR 97355-3982 | 2012-10-03 |
1023050531 | Deborah Jane Rich | Internal Medicine | 450 Clinton St, Woonsocket, RI 02895-3207 | 2006-06-11 |
Street Address |
47818 VAN DYKE AVE |
City | SHELBY TOWNSHIP |
State | MI |
Zip Code | 48317-3373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548416464 | Christina Lynne Johnson | Psychologist | 47818 Van Dyke Ave, Shelby Township, MI 48317-3373 | 2008-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
Find all providers in zip 48317 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326150970 | Anthony Scott Warner | Clinical Neuropsychologist | 51863 Schoenherr Rd Ste 101, Shelby Township, MI 48315-2758 | 2006-08-31 |
1417489402 | Paulina Multhaupt | Clinical Neuropsychologist | 15125 22 Mile Rd, Shelby Township, MI 48315-4406 | 2017-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265046098 | Axon Psychology Group, PC | Clinical Neuropsychologist | 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 | 2020-08-31 |
1548814965 | Emily Nicole Robinett-ferrara | Clinical Neuropsychologist | 14050 Kingston St, Oak Park, MI 48237-1140 | 2019-07-25 |
1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
1992237176 | Lauren Marie Golla | Clinical Neuropsychologist | 111 E Court St Ste 1b, Flint, MI 48502-1649 | 2017-03-28 |
1750839783 | Ace Psychological Consultants LLC | Clinical Neuropsychologist | 1920 Livernois Rd Ste D, Troy, MI 48083-1770 | 2016-09-20 |
1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
1831516152 | Ira Lourie, Psy.d., Pllc | Clinical Neuropsychologist | 30051 High Valley Rd, Farmington Hills, MI 48331-2144 | 2014-03-25 |
1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
Find all providers with the same taxonomy |
City | SHELBY TOWNSHIP |
Zip Code | 48317 |
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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.