MR. JEFFERY JOSEPH LUSKO (NPI# 1245480961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245480961 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY JOSEPH LUSKO |
| Credential | MA, LLP |
| Practice Address |
24901 Northwestern Highway Ste 500 Southfield MI 48075 |
| Mailing Address |
30220 Southfield Rd Apt 144 Southfield MI 48076-1315 |
| Practice Telephone | 2482580440 |
| Practice Fax Number | 2482580458 |
| Mailing Telephone | 3135062272 |
| Mailing Fax Number | 2482580458 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301008576 | MI | Behavioral Health & Social Service Providers |
| Street Address |
24901 NORTHWESTERN HIGHWAY STE 500 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721794 | Sara Molloy | Psychologist | 16000 W 9 Mile Rd Ste 315, Southfield, MI 48075-4835 | 2020-02-10 |
| 1487138038 | Rose Camille Cook | Psychologist | 29500 Southfield Rd Ste 204, Southfield, MI 48076-2044 | 2018-09-19 |
| 1063951671 | Palina Drake | Psychologist | 21650 W 11 Mile Rd Ste 107, Southfield, MI 48076-3715 | 2017-02-15 |
| 1285016071 | The Help Couch, LLC | Psychologist | 29623 Northwestern Hwy, Southfield, MI 48034-1076 | 2015-06-29 |
| 1457745234 | Joseph Matthew Stabrava | Psychologist | 21221 Poinciana St, Southfield, MI 48033-5043 | 2015-03-19 |
| 1528461746 | Steven Mark Portnoy | Psychologist | 19875 Butternut Ln, Southfield, MI 48076-1795 | 2014-10-01 |
| 1790114098 | Matthew Buryta | Psychologist | 22190 W 9 Mile Rd, Southfield, MI 48033-6007 | 2013-11-06 |
| 1780988568 | Ruth Ann Hiner | Psychologist | 27136 Shagbark Dr, Southfield, MI 48076-3535 | 2011-01-07 |
| 1861637282 | Katherine A Zell | Psychologist | 22190 W. 9 Mile Rd., Southfield, MI 48334 | 2008-12-15 |
| 1982872412 | Karen Lynn Jaffe | Psychologist | 28777 Northwestern Hwy, Suite 245d, Southfield, MI 48034-1819 | 2008-02-19 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on MR. JEFFERY JOSEPH LUSKO.
| 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.