DESTINY PETERSON (NPI# 1154865590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154865590 |
Entity Type | Individual |
Full Name | DESTINY PETERSON |
Credential | PHD |
Practice Address |
25900 Greenfield Rd Ste 100 Oak Park MI 48237-1297 |
Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
Practice Telephone | 2487884300 |
Mailing Telephone | (616) 486-6790 |
Enumeration Date | 2016-12-05 |
Last Update Date | 2017-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 6301016731 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366831273 | Destiny Peterson | Specialist | 21415 Civic Center Dr Ste 209, Southfield, MI 48076-3943 | 2015-01-15 |
Street Address |
25900 GREENFIELD RD STE 100 |
City | OAK PARK |
State | MI |
Zip Code | 48237-1297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805371 | Antonio Armstrong | Social Worker | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2020-09-11 |
1710520374 | Iaman Khrais | Social Worker | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2019-10-25 |
1134690126 | Erin Skotzke | Occupational Therapist | 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 | 2018-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
Find all providers in zip 48237 |
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 |
---|---|---|---|---|
1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
1215419064 | Ethos Behavioral Health | Psychologist | 25900 Greenfield Rd Ste 222, Oak Park, MI 48237-1267 | 2018-08-29 |
1811226954 | Tara Marie Andersen | Psychologist | 8543 Oak Park Blvd, Oak Park, MI 48237-1847 | 2009-12-21 |
1396981627 | Uhs of Hartgrove, Inc | Psychologist | 101 Madison St Ste 200, Oak Park, IL 60302-4210 | 2008-12-16 |
1609081637 | Laurie Anderson | Psychologist | 206 S Kenilworth Ave, Oak Park, IL 60302-3116 | 2007-05-12 |
1255451084 | Maurice Solodky Phd P.C. | Psychologist | 1034 Pleasant St, Oak Park, IL 60302-3002 | 2007-03-29 |
1033251384 | Debora Ilene Rothbart | Psychologist | 26031 Stratford Pl, Oak Park, MI 48237-1029 | 2007-02-13 |
1871667980 | Kimberly Lisa Smith-martinez | Psychologist | 110 S Euclid Ave, Oak Park, IL 60302-2906 | 2006-11-20 |
1730293036 | Tamar A Levinson | Psychologist | 1051 N Humphrey Ave, Oak Park, IL 60302-1419 | 2006-08-17 |
1235169335 | Neal J Gordon | Psychologist | 433 Wisconsin Ave, Oak Park, IL 60302-3688 | 2006-07-04 |
Find all providers in OAK PARK |
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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.