BCS OF MICHIGAN LLC (NPI# 1164816195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164816195 |
| Entity Type | Organization |
| Organization Name | BCS OF MICHIGAN LLC |
| Practice Address |
39465 W 14 Mile Rd Novi MI 48377 |
| Mailing Address |
39465 W 14 Mile Rd Novi MI 48377-1600 |
| Practice Telephone | 2488593900 |
| Practice Fax Number | 8884830118 |
| Mailing Telephone | 2488593900 |
| Mailing Fax Number | 8662277418 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | MR. ROBERT A CLEMENTE (DIRECTOR) |
| Authorized Official Telephone | 2488940668 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
39465 W 14 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497893937 | Kimberly A White | Psychologist | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2007-02-04 |
| 1598325177 | Rachael Courter | Physician Assistant | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2019-06-17 |
| 1184107427 | Josilyn Goebel | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2018-09-12 |
| 1851814800 | Bcs Multi-specialty, LLC | General Practice | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2017-07-21 |
| 1366899718 | Margaret Perec | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377 | 2016-05-16 |
| 1700247772 | Kamera Sakeena Boggon | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-03-17 |
| 1467811638 | Steven Frederick Mason | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-02-16 |
| 1174996755 | Taneesha Ruff | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2015-11-04 |
| 1922486729 | Anne Marie Fano Arevalo | Registered Nurse | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2015-05-12 |
| 1578951729 | Michelle Modlinski | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2014-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| 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 |
|---|---|---|---|---|
| 1295249589 | Mollie Whitelaw | Psychologist | 43155 Main St Ste H, Novi, MI 48375-1777 | 2017-11-22 |
| 1790120897 | Emotional Fitness Center PC | Psychologist | 2440 Shawood St, Novi, MI 48377-1970 | 2013-05-02 |
| 1154672798 | Donna Cayao | Psychologist | 31095 Wellington Dr Apt 31102, Novi, MI 48377-1096 | 2012-09-23 |
| 1770818577 | Michele Leno | Psychologist | 39532 Kartar Ln, Novi, MI 48375-4520 | 2009-10-12 |
| 1285885244 | Martha Bridgett Moline Poenaru | Psychologist | 42705 Grand River Ave, Suite 201, Novi, MI 48375-1772 | 2008-10-08 |
| 1275651812 | Priya Kaur Rao | Psychologist | 23965 Novi Road, Suite 110, Novi, MI 48375-3172 | 2007-03-26 |
| 1982641981 | Norman L Fichtenberg | Psychologist | 42005 W 12 Mile Rd, Novi, MI 48377-3113 | 2006-05-31 |
| 1841279288 | Northbrook Psychological Clinic Plc | Psychologist | 43450 W 10 Mile Rd, Novi, MI 48375-3172 | 2006-01-13 |
| 1356969810 | Sally Barbat Pllc | Psychologist | 28175 Haggerty Rd, Novi, MI 48377-2903 | 2020-07-10 |
| 1841828209 | Julia Behen Kubek | Psychologist | 43155 Main St Ste 2300g, Novi, MI 48375-1889 | 2020-03-31 |
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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.