THE DOVE HOUSE (NPI# 1205203817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205203817 |
| Entity Type | Organization |
| Organization Name | THE DOVE HOUSE |
| Practice Address |
1380 Coolidge Hwy Ste 150 Troy MI 48084-7058 |
| Mailing Address |
Po Box 2036 Birmingham MI 48012-2036 |
| Practice Telephone | 2483219200 |
| Mailing Telephone | 2483219200 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-08-16 |
| Authorized Official Name | KATHLEEN ANN RILEY (PRESIDENT OF THE BOARD) |
| Authorized Official Telephone | 2483219200 |
| Authorized Official Credential | FOUNDER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | MI | Behavioral Health & Social Service Providers | |
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MI | Allopathic & Osteopathic Physicians |
| Street Address |
1380 COOLIDGE HWY STE 150 |
| City | TROY |
| State | MI |
| Zip Code | 48084-7058 |
| 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 | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821339 | Farrah Laviolette | Psychiatry & Neurology | 9178 Highland Rd Ste A, White Lake, MI 48386-4619 | 2019-10-04 |
| 1427563089 | Mlrc A Medical Group PC | Psychiatry & Neurology | 26803 Ryan Rd, Warren, MI 48091-4075 | 2017-12-05 |
| 1528180841 | Michael Notorangelo | Psychiatry & Neurology | 229 E 3rd St, Harbor Springs, MI 49740 | 2007-04-06 |
| 1629120282 | Sanjeev Shanmuga Venkataraman | Psychiatry & Neurology | 4111 Andover Rd, Suite 220, Bloomfield Hills, MI 48302-1909 | 2007-01-16 |
| 1538190541 | Sunil Ramchand Rangwani | Psychiatry & Neurology | 317 E Warwick Dr, Suite B, Alma, MI 48801-1085 | 2006-07-06 |
| 1376500090 | Michael Fulton Brooks | Psychiatry & Neurology | 12851 East Grand River, Brighton Hospital, Brighton, MI 48116 | 2006-04-27 |
| 1508154626 | Lewei Lin | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2011-07-11 |
| 1689907966 | Center for Behavioral Medicine Pllc | Psychiatry & Neurology | 700 S Main St, Suite 210, Lapeer, MI 48446-3077 | 2009-09-17 |
| 1174771083 | Alan Robert Teo | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2008-09-04 |
| 1437318771 | Avinash Hosanagar | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
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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.