MARY H CLOSSER (NPI# 1124154109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124154109 |
| Entity Type | Individual |
| Full Name | MARY H CLOSSER |
| Credential | DO |
| Practice Address |
2750 S State St Ann Arbor MI 48104-6179 |
| Practice Telephone | 7346626300 |
| Practice Fax Number | 7346623365 |
| Mailing Telephone | 7346626300 |
| Mailing Fax Number | 7346623365 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
5101009026 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2750 S STATE ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-6179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023112182 | Laura K Leister | Psychologist | 2750 S State St, Ann Arbor, MI 48104-6179 | 2006-09-11 |
| 1841702586 | Nancy Marie Bigelow | Nurse Practitioner | 2750 S State St, Ann Arbor, MI 48104-6179 | 2017-11-03 |
| 1629510789 | Mercedes Kolesnikova | Psychologist | 2750 S State St, Ann Arbor, MI 48104-6179 | 2016-11-07 |
| 1235596644 | Mary Kathryn Korte-turnbull | Social Worker | 2750 S State St, Ann Arbor, MI 48104-6179 | 2016-01-15 |
| 1063848208 | Jody Kohn | Social Worker | 2750 S State St, Ann Arbor, MI 48104-6179 | 2013-09-19 |
| 1083942858 | Robert John Hejna | Social Worker | 2750 S State St, Ann Arbor, MI 48104-6179 | 2009-12-06 |
| 1558694042 | William Jerry White Jr. | Counselor | 2750 S State St, Ann Arbor, MI 48104-6179 | 2009-09-15 |
| 1376799403 | Sneha Sastry | Psychiatry & Neurology | 2750 S State St, Ann Arbor, MI 48104-6179 | 2008-08-08 |
| 1295911675 | Zakhour Issa Youssef | Psychologist | 2750 S State St, Ann Arbor, MI 48104-6179 | 2008-01-15 |
| 1356539597 | Joseph M. Meadows Jr., Md PC | Counselor | 2750 S State St, Ann Arbor, MI 48104-6179 | 2007-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
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| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508154626 | Lewei Lin | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2011-07-11 |
| 1174771083 | Alan Robert Teo | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2008-09-04 |
| 1437318771 | Avinash Hosanagar | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2008-06-02 |
| 1841496007 | Jacek Debiec | Psychiatry & Neurology | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2007-06-25 |
| 1366599813 | Lucila Nerenberg | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109 | 2007-01-05 |
| 1548346554 | Kirk J Brower | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2006-10-31 |
| 1679524219 | Jessica Bright | Psychiatry & Neurology | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821339 | Farrah Laviolette | Psychiatry & Neurology | 9178 Highland Rd Ste A, White Lake, MI 48386-4619 | 2019-10-04 |
| 1427563089 | Mlrc A Medical Group PC | Psychiatry & Neurology | 26803 Ryan Rd, Warren, MI 48091-4075 | 2017-12-05 |
| 1528180841 | Michael Notorangelo | Psychiatry & Neurology | 229 E 3rd St, Harbor Springs, MI 49740 | 2007-04-06 |
| 1629120282 | Sanjeev Shanmuga Venkataraman | Psychiatry & Neurology | 4111 Andover Rd, Suite 220, Bloomfield Hills, MI 48302-1909 | 2007-01-16 |
| 1538190541 | Sunil Ramchand Rangwani | Psychiatry & Neurology | 317 E Warwick Dr, Suite B, Alma, MI 48801-1085 | 2006-07-06 |
| 1376500090 | Michael Fulton Brooks | Psychiatry & Neurology | 12851 East Grand River, Brighton Hospital, Brighton, MI 48116 | 2006-04-27 |
| 1689907966 | Center for Behavioral Medicine Pllc | Psychiatry & Neurology | 700 S Main St, Suite 210, Lapeer, MI 48446-3077 | 2009-09-17 |
| 1487837506 | Pine Rest Christian Mental Health Services | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2007-12-12 |
| 1740349620 | Jaswant Singh Bagga | Psychiatry & Neurology | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2006-12-07 |
| 1578632089 | Ravindra Nath Polavarapu | Psychiatry & Neurology | 700 Stewart Rd, Suite 105, Monroe, MI 48162-5304 | 2006-11-07 |
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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.