LIST PSYCHOLOGICAL SERVICES (NPI# 1124357488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124357488 |
| Entity Type | Organization |
| Organization Name | LIST PSYCHOLOGICAL SERVICES |
| Practice Address |
1600 N Michigan Ave Room 506 Saginaw MI 48602-5306 |
| Mailing Address |
443 N State St Caro MI 48723-1539 |
| Practice Telephone | 9897583720 |
| Practice Fax Number | 9897583760 |
| Mailing Telephone | 9896726160 |
| Mailing Fax Number | 9896725649 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |
| Authorized Official Name | DR. DIANE R LIST (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9896726160 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | VALUE OPTIONS | 034530 | 01 |
| Street Address |
1600 N MICHIGAN AVE ROOM 506 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497863229 | County of Saginaw | Public Health or Welfare | 1600 N Michigan Ave, Saginaw, MI 48602-5306 | 2006-08-29 |
| 1023413036 | Rubye Stanton | Community Health Worker | 1600 N Michigan Ave, Saginaw, MI 48602-5306 | 2014-11-03 |
| 1235534256 | Jennise Cannon | Community Health Worker | 1600 N Michigan Ave, Saginaw, MI 48602-5306 | 2014-11-03 |
| 1275874075 | Hiba Wehbe-alamah | Nurse Practitioner | 1600 N Michigan Ave, Saginaw, MI 48602-5306 | 2013-03-05 |
| 1316285653 | Jacqueline Marie Schultz | Registered Nurse | 1600 N Michigan Ave, Saginaw, MI 48602-5306 | 2013-01-22 |
| 1346363504 | Saginaw County Department of Public Health | Public Health or Welfare | 1600 N Michigan Ave, Saginaw, MI 48602-5306 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939492 | Tyana Mcdaniel | Counselor | 6140 Hallmark Ct, Saginaw, MI 48603-4860 | 2019-02-28 |
| 1093105157 | Cynthia Moten | Counselor | 128 North Weadock, Saginaw, MI 48607 | 2015-01-28 |
| 1184013682 | Stacye Williams | Counselor | 127 N Warren Ave, Saginaw, MI 48607 | 2015-01-21 |
| 1063839645 | Hilary A Vansickle | Counselor | 3500 S Washington Rd, Saginaw, MI 48601-4958 | 2014-03-21 |
| 1356773634 | Randall E Genow II | Counselor | 5360 Hampton Pl Ste 200, Saginaw, MI 48604-9451 | 2013-08-08 |
| 1144596073 | Sharon Renee' Berkobien | Counselor | 3400 S. Washington, Saginaw, MI 48601 | 2012-03-26 |
| 1679802870 | Deidrea Sanders | Counselor | 2127 Maplewood Ave, Saginaw, MI 48601-3604 | 2009-12-17 |
| 1528230943 | Rosetta Harrell | Counselor | 2220 N Morson St, Saginaw, MI 48602-3457 | 2008-03-26 |
| 1730365602 | Oslin Brummell-presley | Counselor | 1226 S Jefferson Ave, Saginaw, MI 48601-2634 | 2008-01-10 |
| 1548399165 | Shannon Melissa Taylor Bond | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2007-03-02 |
| Find all providers in SAGINAW | ||||
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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.