KAELA DORMAN (NPI# 1255530234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255530234 |
| Entity Type | Individual |
| Full Name | KAELA DORMAN |
| Practice Address |
19401 Northline Rd Southgate MI 48195-2277 |
| Practice Telephone | 7347857718 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
19401 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912922410 | Michael Chapman | Counselor | 19401 Northline Rd, Southgate, MI 48195-2277 | 2006-07-13 |
| 1992334833 | Terrie Upham | Social Worker | 19401 Northline Rd, Southgate, MI 48195-2277 | 2020-04-03 |
| 1831729953 | Susie Dianna Rankin | Social Worker | 19401 Northline Rd, Southgate, MI 48195-2277 | 2020-01-16 |
| 1861031916 | Brianna R Simmons | Case Manager/Care Coordinator | 19401 Northline Rd, Southgate, MI 48195-2277 | 2020-01-06 |
| 1134771678 | Micheline Silva | Social Worker | 19401 Northline Rd, Southgate, MI 48195-2277 | 2019-07-15 |
| 1730645003 | Sara Swanson | Counselor | 19401 Northline Rd, Southgate, MI 48195-2277 | 2019-02-12 |
| 1366906893 | Katelyn Rose Slominski | Case Manager/Care Coordinator | 19401 Northline Rd, Southgate, MI 48195-2277 | 2019-01-29 |
| 1295287829 | Vanessa Montemayor | Case Manager/Care Coordinator | 19401 Northline Rd, Southgate, MI 48195-2277 | 2016-10-31 |
| 1659824746 | Kourtni Moncrease | Case Manager/Care Coordinator | 19401 Northline Rd, Southgate, MI 48195-2277 | 2016-07-26 |
| 1154874188 | Amber Nolan | Social Worker | 19401 Northline Rd, Building 5, Southgate, MI 48195-2277 | 2016-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
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| 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 |
|---|---|---|---|---|
| 1982933925 | Dana Marie Toth | Psychologist | 18635 Bowie St, Southgate, MI 48195-2805 | 2009-12-22 |
| 1891981775 | Christine Jo Hergren | Psychologist | 15306 Helen St, Southgate, MI 48195-2068 | 2007-09-24 |
| 1376662247 | Thomas Coleman Pearson IIi | Psychologist | 13101 Allen Rd Ste 400, Southgate, MI 48195-2216 | 2007-03-29 |
| 1568552347 | Carole M Rowland | Psychologist | 12880 Northline Rd, Southgate, MI 48195-1110 | 2006-10-13 |
| 1245843770 | Amy E. Pike | Psychologist | 19275 Northline Rd Bldg 7, Southgate, MI 48195-2220 | 2020-08-25 |
| 1851934905 | Jasmyn Findley | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2019-10-22 |
| 1437715174 | John Angelo Macari | Psychologist | 1 Heritage Dr Ste 520, Southgate, MI 48195-3051 | 2019-05-17 |
| 1437527066 | Heather O'boyle | Psychologist | 18635 Bowie St, Southgate, MI 48195-2805 | 2015-09-14 |
| 1871924365 | Holly Townsend Zugcic | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2013-12-09 |
| 1861832123 | Hannah Katherine Walters | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2013-07-02 |
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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.