BRIDGETTE MELTON (NPI# 1215391479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215391479 |
Entity Type | Individual |
Full Name | BRIDGETTE MELTON |
Credential | PSS |
Practice Address |
6425 Schaefer Rd Suite 2 Dearborn MI 48126-1974 |
Practice Telephone | 3138462606 |
Mailing Telephone | 3138462606 |
Enumeration Date | 2016-04-13 |
Last Update Date | 2019-07-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | 6803087001 | MI | Other Service Providers |
Street Address |
6425 SCHAEFER RD SUITE 2 |
City | DEARBORN |
State | MI |
Zip Code | 48126-1974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841270469 | Hasan B. Hakim | Ophthalmology | 6425 Schaefer Rd, Dearborn, MI 48126-2212 | 2006-01-19 |
1689211674 | Raina Penn | Psychologist | 6425 Schaefer Rd, Dearborn, MI 48126-1974 | 2019-12-09 |
1225573157 | Carrie M Joseph | Social Worker | 6425 Schaefer Rd, Dearborn, MI 48126-1974 | 2017-01-02 |
1851835730 | Huda I. Khazendar | Psychologist | 6425 Schaefer Rd, Suite 2, Dearborn, MI 48126-1974 | 2016-12-12 |
1881148070 | Elizabeth Heatherwick | Registered Nurse | 6425 Schaefer Rd, Dearborn, MI 48126-1974 | 2016-08-05 |
1598123119 | Shari Diaz | Social Worker | 6425 Schaefer Rd, Suite 2, Dearborn, MI 48126-1974 | 2016-02-10 |
1316319841 | Psygenics Inc. | Case Management | 6425 Schaefer Rd, Dearborn, MI 48126-1974 | 2015-10-23 |
1245614395 | Michele E Wilson | Psychologist | 6425 Schaefer Rd, Suite 2, Dearborn, MI 48126 | 2015-07-17 |
1306224134 | Psygenics Inc | Community/Behavioral Health | 6425 Schaefer Rd, Dearborn, MI 48126-1974 | 2015-05-13 |
1154597631 | Hakim Eye Center Inc. | Ophthalmology | 6425 Schaefer Rd, Dearborn, MI 48126-2212 | 2008-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
Find all providers in zip 48126 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508415381 | Zainab Aledany | Peer Specialist | 6451 Schaefer Rd, Dearborn, MI 48126-2212 | 2019-09-05 |
1861955742 | Nader Habhab | Peer Specialist | 6451 Schaefer Rd, Dearborn, MI 48126-2212 | 2019-04-09 |
1033672001 | Safaa Elmessiri | Peer Specialist | 6451 Schaefer Rd, Dearborn, MI 48126-2212 | 2019-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026284 | Leah Mae Sindone | Peer Specialist | 22324 Derby Rd, Woodhaven, MI 48183-3700 | 2020-09-04 |
1992314728 | Willie Earl Feggins | Peer Specialist | 370 Country Club Rd, Holland, MI 49423-8303 | 2020-07-28 |
1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
1568084861 | Zannie Roy Jackson Jr. | Peer Specialist | 36801 Ann Arbor Trl, Livonia, MI 48150-3422 | 2020-05-11 |
1417578865 | Veronica R Vasquez | Peer Specialist | 500 Hancock St # 48602, Saginaw, MI 48602-4224 | 2020-04-27 |
1235768680 | Matthew Milz | Peer Specialist | 145o S Lapeer Rd, Oxford, MI 48371-4982 | 2020-04-07 |
1558996132 | Camille Jewell Jackson | Peer Specialist | 8181 N Wayne Rd Apt S2147, Westland, MI 48185-3842 | 2020-03-04 |
1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
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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.