J C CLINIC (NPI# 1265498125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265498125 |
| Entity Type | Organization |
| Organization Name | J C CLINIC |
| Practice Address |
2035 Hogback Rd Suite 209 Ann Arbor MI 48105-9732 |
| Practice Telephone | 7347940112 |
| Practice Fax Number | 7347940112 |
| Mailing Telephone | 7347940112 |
| Mailing Fax Number | 7347940112 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JUN CAO (PRESIDENT) |
| Authorized Official Telephone | 7347940112 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301079383 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4505719 | 05 | |
| HAP HMO | H79731 | 01 | |
| CARE CHOICES | 136855 | 01 |
| Street Address |
2035 HOGBACK RD SUITE 209 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124576 | Sallie Parker Lmsw, Pllc | Clinic/Center | 2035 Hogback Rd, Suite 207, Ann Arbor, MI 48105-9666 | 2018-08-16 |
| 1144767419 | Leslie Pertz, Lmsw, Nic, Pllc | Social Worker | 2035 Hogback Rd, Ste 210, Ann Arbor, MI 48105-9732 | 2017-01-25 |
| 1164877726 | Therabee | Psychologist | 2035 Hogback Rd, Suite 108, Ann Arbor, MI 48105-9732 | 2016-05-02 |
| 1750764130 | Mary Katherine Gillis | Psychologist | 2035 Hogback Rd, Suite 207, Ann Arbor, MI 48105-9732 | 2015-07-03 |
| 1629467725 | Alternative Counseling Services | Community/Behavioral Health | 2035 Hogback Rd, Ste 210, Ann Arbor, MI 48105-9732 | 2015-01-13 |
| 1114325826 | Laura Sinclair Smith | Social Worker | 2035 Hogback Rd, Suite 207, Ann Arbor, MI 48105-9732 | 2014-12-11 |
| 1336542505 | Jay's Transport 247 | Secured Medical Transport (VAN) | 2035 Hogback Rd, 103, Ann Arbor, MI 48105-9732 | 2014-10-02 |
| 1790026755 | Pyramid Counseling & Consultation LLC | Community/Behavioral Health | 2035 Hogback Rd, 207, Ann Arbor, MI 48105-9732 | 2013-03-14 |
| 1790936516 | Robert Goode, Ph.d. Pllc | Community/Behavioral Health | 2035 Hogback Rd, Suite 102, Ann Arbor, MI 48105-9732 | 2008-10-10 |
| 1194938886 | Paul Dugliss | General Practice | 2035 Hogback Rd, Suite 211, Ann Arbor, MI 48105-9732 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1235585829 | Andrew Timothy Schmale | Psychiatry & Neurology | 320 N Main St Ste 300, Ann Arbor, MI 48104-1127 | 2016-05-12 |
| 1386029445 | Louis Feurino Md Pllc | Psychiatry & Neurology | 900 Victors Way Ste 240, Ann Arbor, MI 48108-2705 | 2015-07-29 |
| 1568859635 | Joseph C Ikekwere | Psychiatry & Neurology | 4250 Plymouth Rd Dept Of, Ann Arbor, MI 48109-2700 | 2015-04-16 |
| 1700204609 | Sajeeb Adhikary | Psychiatry & Neurology | 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2014-03-29 |
| 1285900324 | Suzanne M Sutherland | Psychiatry & Neurology | 729 Peninsula Ct, Ann Arbor, MI 48105-2507 | 2012-03-22 |
| 1114235686 | Peter Blos Jr. Jr. | Psychiatry & Neurology | 111 S 4th Ave, #2, Ann Arbor, MI 48104-1901 | 2010-09-18 |
| 1962630897 | Numa P. Cabrera | Psychiatry & Neurology | 2115 Churchill, Ann Arbor, MI 48103-6000 | 2009-06-30 |
| 1417183047 | Kwang Cho Kim | Psychiatry & Neurology | 3745 Charter Pl, Ann Arbor, MI 48105-2826 | 2009-06-10 |
| 1376780742 | Jonathan A Sugar | Psychiatry & Neurology | 339 E Liberty St, Suite 330, Ann Arbor, MI 48104-2276 | 2009-01-07 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on J C CLINIC.
| 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.