MRS. MAUREEN ELAINE KASSOF (NPI# 1235207556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235207556 |
| Entity Type | Individual |
| Full Name | MRS. MAUREEN ELAINE KASSOF |
| Credential | APRN |
| Practice Address |
5859 Cedar Ridge Dr Ann Arbor MI 48103-8790 |
| Practice Telephone | 7349961506 |
| Practice Fax Number | 7346623255 |
| Mailing Telephone | 7349961507 |
| Mailing Fax Number | 7346623255 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
1688077 | MI | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
4704080390 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5859 CEDAR RIDGE DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-8790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471782 | Essential Care Medical Center | Clinical Nurse Specialist | 3120 Carpenter St Ste 207, Hamtramck, MI 48212-2771 | 2020-06-11 |
| 1508103920 | Cheryl Ann Zimlich | Clinical Nurse Specialist | 5500 Armstrong Road (11c), Va Medical Center, Battle Creek, MI 49037 | 2013-01-04 |
| 1548592249 | Debra Sl Remley | Clinical Nurse Specialist | 3947 Nelson Dr, Newport, MI 48166-9007 | 2010-02-04 |
| 1790970002 | Deborah L. Edford | Clinical Nurse Specialist | 3413 Bemis Rd, Ypsilanti, MI 48197-9307 | 2007-09-10 |
| 1295800134 | Lynda Kay Suciu | Clinical Nurse Specialist | 6289 Burningtree Dr, Burton, MI 48509-2610 | 2006-11-22 |
| 1346790920 | Cynthia J Papendick Inc | Clinical Nurse Specialist | 16170 Red Arrow Hwy, Suite C-8, Union Pier, MI 49129-9473 | 2016-10-07 |
| 1336450600 | Josephine Anne Grider | Clinical Nurse Specialist | 30600 Telegraph Rd, Suite 3275, Bingham Farms, MI 48025-4530 | 2010-07-01 |
| 1760614721 | Megan M Bronson | Clinical Nurse Specialist | 4877 Meandering Creek Dr Ne, Belmont, MI 49306-9662 | 2009-08-10 |
| 1043455702 | Michele Marie Corker | Clinical Nurse Specialist | 4646 John R, John D. Dingell Va Medical Center, Detroit, MI 48201 | 2008-12-10 |
| 1457540536 | Mark David Loszewski | Clinical Nurse Specialist | 4646 John R St, Mental Health Clinic, Detroit, MI 48201-1916 | 2007-10-15 |
| 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.