MR. MARK CANNIZZARO (NPI# 1144373812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144373812 |
| Entity Type | Individual |
| Full Name | MR. MARK CANNIZZARO |
| Credential | PHD |
| Practice Address |
120 N Washington Sq Ste 300 Lansing MI 48933-1658 |
| Practice Telephone | 7342101854 |
| Practice Fax Number | 5176271289 |
| Mailing Telephone | 7342101854 |
| Mailing Fax Number | 5176271289 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301012725 | MI | Behavioral Health & Social Service Providers |
| Street Address |
120 N WASHINGTON SQ STE 300 |
| City | LANSING |
| State | MI |
| Zip Code | 48933-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362451 | Michaela Brinker | Behavior Technician | 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 | 2020-10-05 |
| 1518575059 | Dmv Consulting and Networking LLC | Social Worker | 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 | 2020-07-21 |
| 1063047041 | Marysa Wilburn | Behavior Technician | 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 | 2020-03-10 |
| 1316570559 | Brooke Jade Marriott | Behavior Technician | 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 | 2020-02-17 |
| 1487286357 | Hannah Marie Morrow | Behavior Technician | 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 | 2020-02-10 |
| 1548421167 | Wassim Noureddine | Internal Medicine | 120 N Washington Sq Ste 300, Lansing, MI 48933-1658 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000549 | Cayla C Ulrich | Student in an Organized Health Care Education/Training Program | 215 E Michigan Ave, Lansing, MI 48933 | 2019-06-03 |
| 1962995829 | Tri-county Cousneling Service LLC | Community/Behavioral Health | 105 W Hillsdale St, Lansing, MI 48933 | 2018-06-14 |
| 1659577617 | James Theodore Lamond | Dentist | 314 N Walnut, Lansing, MI 48933 | 2007-06-26 |
| 1568501278 | Lawrence A Wareck | Dentist | 601 S. Grand Avenue, Lansing, MI 48933 | 2007-02-06 |
| 1467501130 | Lansing Community College | Dentist | 515 N. Washington Sq., Lansing, MI 48933 | 2007-01-10 |
| 1053952820 | Kerri N Sinnott | Nurse Practitioner | 215 E Michigan Ave, Lansing, MI 48933 | 2019-10-03 |
| 1225234925 | Curt D Mcdaniel | Chiropractor | 117 S Washington Ave, Lansing, MI 48933 | 2007-06-21 |
| 1154460707 | Michael B. Hutcheson, Dds PC | Dentist | 601 S. Grand Avenue, Lansing, MI 48933 | 2007-02-06 |
| 1972567766 | Sumita Chakravarty | Registered Nurse | 606 W Shiawassee St, Lansing, MI 48933-1032 | 2006-04-17 |
| 1528447422 | Sandra Youngs | Counselor | 606 W Shiawassee St, Lansing, MI 48933-1032 | 2015-05-26 |
| Find all providers in zip 48933 | ||||
| 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 |
|---|---|---|---|---|
| 1154952224 | Nicha Amy Nasamran | Psychologist | 2929 Covington Ct Unit 201, Lansing, MI 48912-4940 | 2020-01-28 |
| 1326447020 | Saving Lives Inc. | Psychologist | 17125 Bernadine St, Lansing, IL 60438-1473 | 2014-08-19 |
| 1700177227 | A New Hope Counseling Center | Psychologist | 3815 W St Joe St Ste A400, Lansing, MI 48917-5600 | 2011-05-02 |
| 1700073228 | Hilton Tellis Thomas | Psychologist | 302 S Waverly Rd, Suite 1, Lansing, MI 48917-3631 | 2007-09-28 |
| 1114083870 | Winfred Joseph Smith | Psychologist | 913 W Holmes Rd Ste 143b, Lansing, MI 48910-0435 | 2006-12-28 |
| 1881762250 | Ronald Dale Fandrick | Psychologist | 3815 W Saint Joseph St Ste A400, Lansing, MI 48917-5600 | 2006-12-01 |
| 1679641583 | Patricia Resek Longan | Psychologist | 6500 Centurion Drive, Suite 260, Lansing, MI 48917-8240 | 2006-11-30 |
| 1346335890 | Roberta Tekotte Hale | Psychologist | 1540 Lake Lansing Rd., Suite 101, Lansing, MI 48912 | 2006-10-03 |
| 1467552901 | Richard Henry Thornes | Psychologist | 1020 S Creyts Rd Ste 307, Lansing, MI 48917-8236 | 2006-09-24 |
| 1184638587 | Melinda J Simon | Psychologist | 5123 W St Joe Hwy, Suite 103, Lansing, MI 48917-4093 | 2006-07-28 |
| Find all providers in LANSING | ||||
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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.