MRS. PAULA AGNELLO GOLDSTEIN (NPI# 1225430085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225430085 |
Entity Type | Individual |
Full Name | MRS. PAULA AGNELLO GOLDSTEIN |
Credential | PMHNP-BC |
Practice Address |
441 S Livernois Rd Suite 205 Rochester Hills MI 48307-2584 |
Practice Telephone | 2486088800 |
Practice Fax Number | 2486082490 |
Mailing Telephone | 2486088800 |
Mailing Fax Number | 2486082490 |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704176732 | MI | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704176732 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083775092 | Paula Iris Goldstein | Social Worker | 3 Birchwood Ct, 4e, Mineola, NY 11501-4511 | 2006-12-13 |
Street Address |
441 S LIVERNOIS RD SUITE 205 |
City | ROCHESTER HILLS |
State | MI |
Zip Code | 48307-2584 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235131160 | Brigitte Lorenz | Obstetrics & Gynecology | 441 S Livernois Rd, #175, Rochester Hills, MI 48307-2584 | 2005-08-11 |
1538670807 | Nicole Eve Blovet | Psychologist | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-10-13 |
1023534609 | Joel L. Young, M.d., P.C. | Clinic/Center | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-08-16 |
1508392796 | Derek Susalla | Physician Assistant | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-05-07 |
1750836102 | Jillian Fortain | Psychologist | 441 S Livernois Rd, Suite 100, Rochester Hills, MI 48307-2584 | 2016-08-15 |
1942655188 | Frances Elizabeth Quail | Counselor | 441 S Livernois Rd, Suite 100, Rochester Hills, MI 48307-2584 | 2016-04-25 |
1770955577 | Wendy Saal | Counselor | 441 S Livernois Rd, Suite 100, Rochester Hills, MI 48307-2584 | 2015-10-20 |
1508236472 | Katy Mason | Social Worker | 441 S Livernois Rd, 100, Rochester Hills, MI 48307-2584 | 2015-10-04 |
1124447909 | Nancy Tedder | Counselor | 441 S Livernois Rd, Suite 205, Rochester Hills, MI 48307-2584 | 2014-04-09 |
1366867673 | Christina Deangelis | Psychologist | 441 S Livernois Rd, Suite 205, Rochester Hills, MI 48307-2584 | 2014-02-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
Find all providers in zip 48307 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750620225 | Mental Health Michigan Pllc | Nurse Practitioner | 671 W Bluff Ct, Rochester Hills, MI 48307-6081 | 2013-02-04 |
1821649492 | Kathryn Layne Young | Nurse Practitioner | 441 S Livernois Rd Ste 100, Rochester Hills, MI 48307-2585 | 2019-09-25 |
1053819714 | Jean Wasilewski Terry | Nurse Practitioner | 950 W Avon Rd Ste 3, Rochester Hills, MI 48307-2761 | 2018-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
Find all providers with the same taxonomy |
City | ROCHESTER HILLS |
Zip Code | 48307 |
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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.