BIRMINGHAM MAPLE CLINIC (NPI# 1144524133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144524133 |
| Entity Type | Organization |
| Organization Name | BIRMINGHAM MAPLE CLINIC |
| Practice Address |
2075 W Big Beaver Rd Suite 520 Troy MI 48084-3407 |
| Practice Telephone | 2486466659 |
| Practice Fax Number | 2486428645 |
| Mailing Telephone | 2486466659 |
| Mailing Fax Number | 2486428645 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | MRS. LORI KANAT EDELSON (BUSINESS OWNER) |
| Authorized Official Telephone | 2486466659 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558412551 | Birmingham Maple Clinic | Counselor | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2007-01-16 |
| Street Address |
2075 W BIG BEAVER RD SUITE 520 |
| City | TROY |
| State | MI |
| Zip Code | 48084-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124332 | Advanced Professional Home Health Care, Inc | Home Health | 2075 W Big Beaver Rd, Suite # 602, Troy, MI 48084-3407 | 2005-06-15 |
| 1114408903 | Stephen John Batchelor | Social Worker | 2075 W Big Beaver Rd, Troy, MI 48084-3407 | 2018-08-28 |
| 1306386883 | Megan Jobes | Physical Therapist | 2075 W Big Beaver Rd, Ste 601, Troy, MI 48084-3407 | 2017-03-02 |
| 1366802209 | Heather Carroll | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2016-03-04 |
| 1053718759 | Geoffrey Kantack | Social Worker | 2075 W Big Beaver Rd, Troy, MI 48084-3407 | 2014-11-24 |
| 1992116222 | Mira Cely | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2014-05-08 |
| 1568881910 | Brooke Weingarden Do Mph Pllc | Psychiatry & Neurology | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2014-04-14 |
| 1114359254 | Zubair G. Rathur | Physical Therapist | 2075 W Big Beaver Rd, Troy, MI 48084-3407 | 2013-07-31 |
| 1124361308 | Whitney Kantack | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2013-04-05 |
| 1023358652 | Monica Lynn Nagle | Marriage & Family Therapist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549233 | Amelia Amin | Psychologist | 2855 Coolidge Hwy Ste 101, Troy, MI 48084-3215 | 2020-08-20 |
| 1316336506 | Krystle Charon Woods | Psychologist | 800 Stephenson Hwy Ste 250, Troy, MI 48083-1106 | 2015-01-12 |
| 1336409804 | Jenni Knowles, Ph.d., Lp, LLC | Psychologist | 200 E Big Beaver Rd # 116, Troy, MI 48083-1208 | 2012-05-18 |
| 1649550005 | Huilan Zhang | Psychologist | 2073 E Maple Rd, Troy, MI 48083-4493 | 2011-08-17 |
| 1205065182 | Shari Slebodnik | Psychologist | 1700 W Big Beaver Rd Ste 200, Troy, MI 48084-3524 | 2009-07-13 |
| 1134384274 | Rosalynn Marie Moten | Psychologist | 2215 Golfview Dr, Apt 202, Troy, MI 48084-3919 | 2008-07-28 |
| 1235323973 | Sarah Maxwell Gates | Psychologist | 122 Elmira Street, Suite B, Troy, PA 16947 | 2007-09-05 |
| 1043418098 | Warren Behavioral Care, Inc | Psychologist | 889 Elba Hwy, Troy, AL 36079-6017 | 2007-07-10 |
| 1225231160 | Christine Delange | Psychologist | 1700 W Big Beaver Rd, Suite 200, Troy, MI 48084-3530 | 2007-06-07 |
| 1912112657 | Edith Boswell | Psychologist | 2014 Laurel Dr, Troy, MI 48085-3821 | 2007-05-14 |
| Find all providers in TROY | ||||
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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.