ERIN COLLEEN WYNN (NPI# 1184042145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184042145 |
| Entity Type | Individual |
| Full Name | ERIN COLLEEN WYNN |
| Credential | TLLP |
| Practice Address |
44899 Centre Ct Suite# 101 Clinton Township MI 48038-5510 |
| Practice Telephone | 5866908331 |
| Practice Fax Number | 5866908401 |
| Mailing Telephone | 5866908331 |
| Mailing Fax Number | 5866908401 |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2014-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015822 | MI | Behavioral Health & Social Service Providers |
| Street Address |
44899 CENTRE CT SUITE# 101 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679675201 | Elizabeth Mcgarvey Hanvey | Social Worker | 44899 Centre Ct, Suite 102, Clinton Township, MI 48038-5510 | 2006-09-03 |
| 1740766435 | Laura Mae Hallman | Social Worker | 44899 Centre Ct, Clinton Township, MI 48038-5510 | 2018-07-16 |
| 1750829560 | Rosetta Dean | Social Worker | 44899 Centre Ct, Suite 101, Clinton Township, MI 48038-5510 | 2017-02-01 |
| 1912456427 | Samantha Janko | Student in an Organized Health Care Education/Training Program | 44899 Centre Ct, Clinton Township, MI 48038 | 2016-09-26 |
| 1649643883 | Carolyn Radke | Social Worker | 44899 Centre Ct, Clinton Township, MI 48038-5510 | 2015-11-10 |
| 1164807525 | Lisa Ann Catherine Crocenzi | Counselor | 44899 Centre Ct, Suite 101, Clinton Township, MI 48038-5510 | 2015-07-28 |
| 1962886978 | Alexis Nichols | Case Management | 44899 Centre Ct, Clinton Township, MI 48038-5510 | 2015-07-20 |
| 1073930376 | Alexis Demchyna | Social Worker | 44899 Centre Ct, Clinton Township, MI 48038-5510 | 2014-03-25 |
| 1376969972 | Sandra Ann Lesage-dobner | Counselor | 44899 Centre Ct, Suite 101, Clinton Township, MI 48038-5510 | 2014-03-07 |
| 1447688221 | Jennifer Ayotte | Social Worker | 44899 Centre Ct, Clinton Township, MI 48038-5510 | 2013-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| 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 |
|---|---|---|---|---|
| 1235373374 | Nova Psychological Services | Psychologist | 16676 Festian Dr, Clinton Township, MI 48035-2231 | 2009-04-20 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1568658623 | Cheryl Lewis | Psychologist | 42477 Garfield Rd, Clinton Township, MI 48038-1651 | 2007-09-21 |
| 1831223387 | Mark Denison | Psychologist | 36359 Harper Ave, Suite A, Clinton Township, MI 48035-2958 | 2007-03-15 |
| 1962584615 | Lois Schafer | Psychologist | 42627 Garfield Rd, Suite 216-c, Clinton Township, MI 48038-5032 | 2006-10-20 |
| 1235235177 | Patricia Anne Yoder | Psychologist | 36389 Harper Ave, Clinton Township, MI 48035-2958 | 2006-09-16 |
| 1154432730 | Kathleen Anne Kuron | Psychologist | 19120 Cass Ave, Chippewa Valley Schools - Special Services Dpt, Clinton Township, MI 48038-2301 | 2006-08-31 |
| 1033110473 | Karen Kay Allmacher | Psychologist | 38787 Byriver St, Clinton Township, MI 48036-1817 | 2005-08-09 |
| 1356818033 | Linda T Alyashae | Psychologist | 21885 Dunham Rd Ste 1, Clinton Township, MI 48036-1030 | 2018-10-31 |
| 1538531835 | Michael James Lamerato | Psychologist | 39425 Garfield Rd Ste 23, Clinton Township, MI 48038-4651 | 2015-10-26 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on ERIN COLLEEN WYNN.
| 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.