ASCENSION EASTWOOD BEHAVIORAL HEALTH (NPI# 1245458728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245458728 |
| Entity Type | Organization |
| Organization Name | ASCENSION EASTWOOD BEHAVIORAL HEALTH |
| Other Organization Name | EASTWOOD CLINICS |
| Practice Address |
17250 Farmington Rd Livonia MI 48152-3151 |
| Mailing Address |
2800 Livernois Rd Ste 500 Troy MI 48083-1219 |
| Practice Telephone | 7344254070 |
| Practice Fax Number | 7344258350 |
| Mailing Telephone | 2486808203 |
| Mailing Fax Number | 2486808030 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | STEVEN CANDELA (DIRECTOR) |
| Authorized Official Telephone | 5867530400 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTWOOD COMMUNITY CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Eastwood Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
| 1568768711 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 2800 Livernois Rd Ste 500, Troy, MI 48083-1219 | 2011-02-07 |
| 1144422494 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 44000 W 12 Mile Rd Ste 101, Novi, MI 48377 | 2007-05-31 |
| 1932329166 | Ascension Eastwood Behavioral Health | Counselor | 22151 Morros, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-30 |
| 1023238250 | Ascension Eastwood Behavioral Health | Psychologist | 22255 Greenfield Road, Suite 300, Southfield, MI 48075-3700 | 2007-04-30 |
| 1851519359 | Ascension Eastwood Behavioral Health | Counselor | 110 W. South Blvd, Suite 200, Rochester Hills, MI 48307-5150 | 2007-04-23 |
| 1336367804 | Ascension Eastwood Behavioral Health | Counselor | 22151 Moross, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-23 |
| 1104044676 | Ascension Eastwood Behavioral Health | Counselor | 22708 Harper Avenue, St. Clair Shores, MI 48315-6033 | 2007-04-23 |
| 1740408244 | Ascension Eastwood Behavioral Health | Counselor | 30701 Woodward Avenue, Suite 200, Royal Oak, MI 48073-0987 | 2007-04-23 |
| 1922116938 | Ascension Eastwood Behavioral Health | Substance Abuse Rehabilitation Facility | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-08-29 |
| Street Address |
17250 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235167248 | Kathleen K Rychter | Psychologist | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2006-06-29 |
| 1770135816 | Joy Montgomery | Counselor | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2019-07-09 |
| 1780059808 | Alyssa Mcmillan | Social Worker | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2015-12-01 |
| 1548527419 | Karen Skrzypek | Social Worker | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2012-04-17 |
| 1093972085 | Grete Joan Letson | Counselor | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2008-05-19 |
| 1659591881 | Ascension Eastwood Behavioral Health | Counselor | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2007-04-30 |
| 1912073479 | Jill S Becovic | Psychologist | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2006-11-28 |
| 1639241045 | Elizabeth Ilene Miller | Counselor | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2006-11-14 |
| 1972513257 | Thomas Alan Griffith | Social Worker | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2006-08-09 |
| 1144230426 | Lisa A Shamie | Social Worker | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1558868232 | Tammy Mccrory | Psychologist | 12335 Stark Rd, Livonia, MI 48150-1544 | 2018-04-10 |
| 1740601194 | Alan James Carotta Jr. | Psychologist | 34935 Schoolcraft Rd Ste 106, Livonia, MI 48150-1317 | 2014-01-01 |
| 1164854220 | Margaret Ann Costello | Psychologist | 17177 North Laurel Park; Suite 131, Cruz Clinic, Livonia, MI 48152 | 2013-07-31 |
| 1992944276 | Jessica Lynn Wortinger | Psychologist | Transcendence Behavioral Health, 39319 Plymouth Rd, Livonia, MI 48150 | 2009-02-11 |
| 1821207390 | New Directions for Better Living PC | Psychologist | 32231 Schoolcraft Rd, Suite 202, Livonia, MI 48150-4312 | 2007-05-22 |
| 1245366012 | Stan H. Przybylowicz Jr. | Psychologist | 18592 Southampton St, Livonia, MI 48152-3089 | 2007-02-26 |
| 1972689792 | Kathryn Anne Staron | Psychologist | 33150 Schoolcraft Rd Ste L03, Livonia, MI 48150 | 2006-10-27 |
| 1235167248 | Kathleen K Rychter | Psychologist | 17250 Farmington Rd, Livonia, MI 48152-3151 | 2006-06-29 |
| 1346287349 | Lisa Robin Elrom | Psychologist | Upc Livonia, 16836 Newburgh Rd, Livonia, MI 48154 | 2006-05-31 |
| 1720638158 | Amanda Lyberg | Psychologist | 39319 Plymouth Rd, Livonia, MI 48150-1059 | 2019-09-17 |
| Find all providers in LIVONIA | ||||
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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.