JUDSON CENTER, INC. (NPI# 1235569013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235569013 |
| Entity Type | Organization |
| Organization Name | JUDSON CENTER, INC. |
| Other Organization Name | AUTISM CONNECTION |
| Practice Address |
4410 W 13 Mile Rd Royal Oak MI 48073-6515 |
| Practice Telephone | 2485494339 |
| Practice Fax Number | 2485498955 |
| Mailing Telephone | 2485494339 |
| Mailing Fax Number | 2485498955 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | MR. CAMERON D. HOSNER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2485494339 |
| Is Organization Subpart | Y |
| Parent Organization Name | JUDSON CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| AUTISM CONNECTION | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033264890 | Judson Center, Inc. | Case Management | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2007-01-24 |
| 1396217600 | Judson Center, Inc. | Family Medicine | 12200 E 13 Mile Rd, Warren, MI 48093-3093 | 2018-12-27 |
| Street Address |
4410 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033264890 | Judson Center, Inc. | Case Management | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2007-01-24 |
| 1861036188 | Amanda Lynn Zeffero | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-10-30 |
| 1821649799 | Jennifer Lynn Radowick | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-23 |
| 1053960039 | Chrishara Shanae Richardson | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-11 |
| 1154970531 | Olesia Kellezi | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-09 |
| 1760036164 | Jacquelyn Paige Renard | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-25 |
| 1497308092 | Lauren Macleod | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-23 |
| 1073165387 | Rebecca Wilson | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-16 |
| 1114579208 | Monique Jackson | Counselor | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-10 |
| 1487211488 | Stephanie Page Ender | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527134 | Lindsey L Bupp | Psychologist | 3007 N Altadena Ave, Royal Oak, MI 48073-3555 | 2020-08-04 |
| 1144711102 | Stephen Roger Fleck | Psychologist | 221 Forest Ave, Royal Oak, MI 48067-1876 | 2018-05-25 |
| 1407145030 | Andrea Nicole Morrison | Psychologist | 221 S Main St Ste 201, Royal Oak, MI 48067-2653 | 2011-04-05 |
| 1699076950 | Carole E. West | Psychologist | 603 N Gainsborough Ave, Royal Oak, MI 48067-1938 | 2010-11-03 |
| 1558675355 | Debra Ann Harmon | Psychologist | 1812 Harwood Ave, Royal Oak, MI 48067-4064 | 2010-08-04 |
| 1740411297 | Christine Catherine Elwart | Psychologist | 2007 Roseland Ave, Royal Oak, MI 48073-5014 | 2009-07-31 |
| 1578738431 | Judy Leigh Atkins | Psychologist | 26862 Woodward Ave, Suite 102, Royal Oak, MI 48067-0957 | 2008-04-22 |
| 1518089705 | Janice Gail Tomakowsky | Psychologist | 333 W 7th St, Suite 220, Royal Oak, MI 48067-2513 | 2007-04-06 |
| 1700900529 | Joe Bavonese | Psychologist | 27172 Woodward, Suite 200, Royal Oak, MI 48067-0965 | 2007-03-19 |
| 1093821597 | Daniel Charles Stettner Lp | Psychologist | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 | 2006-08-21 |
| Find all providers in ROYAL OAK | ||||
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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.