DESTINY PETERSON


Address: 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297
Phone: 2487884300

DESTINY PETERSON (NPI# 1154865590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301016731 MI Behavioral Health & Social Service Providers

Other Providers DESTINY PETERSON

NPI Name Taxonomy Address Enumeration
1366831273 Destiny Peterson Specialist 21415 Civic Center Dr Ste 209, Southfield, MI 48076-3943 2015-01-15

Office Location

Street Address 25900 GREENFIELD RD STE 100
City OAK PARK
State MI
Zip Code 48237-1297

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City OAK PARK
Zip Code 48237

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Dataset Information

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.

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