MISS DANA GRESOCK (NPI# 1124510060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124510060 |
| Entity Type | Individual |
| Full Name | MISS DANA GRESOCK |
| Practice Address |
8623 N Wayne Rd Ste 230 Westland MI 48185-1137 |
| Mailing Address |
11030 Flamingo St Livonia MI 48150-2944 |
| Practice Telephone | 7345137598 |
| Mailing Telephone | 7347316221 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| Street Address |
8623 N WAYNE RD STE 230 |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922551449 | Donisha Alexander | Technician, Other | 8623 N Wayne Rd Ste 230, Westland, MI 48185-1137 | 2016-08-02 |
| 1316431463 | Michelle Lynn Furlong | Specialist/Technologist | 8623 N Wayne Rd Ste 230, Westland, MI 48185-1137 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| Find all providers in zip 48185 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230282 | Latice Renee Dowdell | Psychologist | 43828 Medea Dr, Clinton Township, MI 48036-1299 | 2019-11-20 |
| 1770062572 | Letisha Erica Smith | Psychologist | 120 N Washington Sq Ste 307, Lansing, MI 48933-1617 | 2018-08-13 |
| 1174019467 | Christie Ladonna Chandler | Psychologist | 8401 Kennedy Cir Unit 3, Warren, MI 48093-2223 | 2018-07-10 |
| 1225546120 | Tavia Turner | Psychologist | 18758 Florence St, Roseville, MI 48066-4816 | 2018-01-14 |
| 1316490758 | Rosa Maria Thomas | Psychologist | 873 Jordan Ln, Milford, MI 48381-1476 | 2016-08-02 |
| 1851756738 | Jerren Weekes-kanu | Psychologist | 41086 Williamsburg Blvd, Canton, MI 48187-3878 | 2015-12-21 |
| 1376924142 | Lois Jean Webster | Psychologist | 15908 Mansfield St, Detroit, MI 48227-1959 | 2015-06-17 |
| 1962538058 | Charlene Crickon Kushler | Psychologist | 1751 Brookshire Ct, Williamston, MI 48895-9372 | 2007-02-26 |
| 1780757559 | Barbara Hofmann | Psychologist | 650 E Big Beaver Rd Ste A, Troy, MI 48083-1432 | 2006-11-17 |
| 1346333937 | Stanley L. Eden | Psychologist | 514 Juniper Dr., Davison, MI 48423 | 2006-10-02 |
| 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.