NEW CREATION PSYCHOLOGICAL SERVIES (NPI# 1215067608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215067608 |
| Entity Type | Organization |
| Organization Name | NEW CREATION PSYCHOLOGICAL SERVIES |
| Practice Address |
17635 Pearl St Bailey MI 49303-9750 |
| Mailing Address |
7800 S River Ridge Rd Newaygo MI 49337-9752 |
| Practice Telephone | 2313437969 |
| Mailing Telephone | 2316521299 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARMEN COLLEEN BALDUS (PRESIDENT PSYCHOLOGIST) |
| Authorized Official Telephone | 2316521299 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301011963 | MI | Behavioral Health & Social Service Providers |
| Street Address |
17635 PEARL ST |
| City | BAILEY |
| State | MI |
| Zip Code | 49303-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154898344 | Justin Anthony Borman | Physical Therapy Assistant | 2815 Moore Rd, Bailey, MI 49303-9604 | 2018-10-26 |
| 1548686876 | Lisa Marie Longoria I | Massage Therapist | 17615 Bailey Rd, Bailey, MI 49303-9729 | 2014-03-11 |
| 1700297538 | Diana Steketee | Psychologist | 17615 Bailey Rd, Bailey, MI 49303-9729 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960922 | Warrior Tree Counseling, LLC | Community/Behavioral Health | 29 Bluebird Ln, Bailey, CO 80421-2005 | 2020-10-18 |
| 1730713124 | Just 4 Today Services, Inc | In Home Supportive Care | 6291 E Main Street, Bailey, NC 27807 | 2020-02-25 |
| 1437709284 | American Medical Home Health Services - Denver LLC | Home Health | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-13 |
| 1689136699 | Amy Elizabeth Vann | Counselor | 58 Bristlecone Cir, Bailey, CO 80421-1202 | 2019-04-01 |
| 1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
| 1154898344 | Justin Anthony Borman | Physical Therapy Assistant | 2815 Moore Rd, Bailey, MI 49303-9604 | 2018-10-26 |
| 1073091963 | Brandon Gary Allen | Registered Nurse | 3601b Espey Hedgepeth Rd, Bailey, MS 39320-9580 | 2018-08-01 |
| 1316446529 | Tiffany C. L. Bowden | Psychologist | 7341 Windy Ct W, Bailey, NC 27807 | 2018-02-03 |
| 1982127429 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 12362 Oak Ave, Bailey, NC 27807 | 2017-07-17 |
| 1477073393 | Sondra Denise Odom | Nurse Practitioner | 6347 Red Oak Drive, Bailey, MS 39320 | 2017-06-21 |
| Find all providers in BAILEY | ||||
| 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 |
|---|---|---|---|---|
| 1700297538 | Diana Steketee | Psychologist | 17615 Bailey Rd, Bailey, MI 49303-9729 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 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.