DR. JAMES PHILLIP ETZKORN


Address: 400 Maynard St, Suite 603, Ann Arbor, MI 48104-2440
Phone: 7349139761

DR. JAMES PHILLIP ETZKORN (NPI# 1275523904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275523904
Entity Type Individual
Full Name DR. JAMES PHILLIP ETZKORN
Credential PH.D.
Practice Address 400 Maynard St
Suite 603
Ann Arbor
MI 48104-2440
Practice Telephone 7349139761
Practice Fax Number 7342227054
Mailing Telephone 7349139761
Mailing Fax Number 7342227054
Enumeration Date 2005-10-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6301009499 MI Behavioral Health & Social Service Providers

Other Providers JAMES ETZKORN

NPI Name Taxonomy Address Enumeration
1124066253 James Robert Etzkorn Internal Medicine 2821 N Ballas Rd, Saint Louis, MO 63131-2321 2006-06-02

Office Location

Street Address 400 MAYNARD ST
SUITE 603
City ANN ARBOR
State MI
Zip Code 48104-2440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255777090 Universal Health Aid Community/Behavioral Health 400 Maynard St, Apt 202, Ann Arbor, MI 48104-2440 2013-05-20
1073757043 Julie Jaffee Nagel Psychologist 400 Maynard St, Suite 706, Ann Arbor, MI 48104-2440 2009-04-21
1316186828 Joshua Ehrlich Psychologist 400 Maynard St, #703, Ann Arbor, MI 48104-2440 2009-02-09
1477728160 David C. Votruba II Social Worker 400 Maynard St, Suite 206, Ann Arbor, MI 48104-2440 2008-04-24
1255534384 Barbara Strean Cain Social Worker 400 Maynard St, 803, Ann Arbor, MI 48104-2440 2007-06-06
1457569865 Robert L Hatcher Psychologist 400 Maynard St, 1006, Ann Arbor, MI 48104-2440 2007-05-18
1083821953 Orli Klier Avi-yonah Psychologist 400 Maynard St, #1003, Ann Arbor, MI 48104-2440 2007-05-17
1750411773 Barbara Joan Lahood Psychologist 400 Maynard St, Suite 806, Ann Arbor, MI 48104-2440 2007-03-07
1972661957 James Plunkett Psychologist 400 Maynard St, Suite 906, Ann Arbor, MI 48104-2440 2006-12-04
1326106303 Marcia Plunkett Psychologist 400 Maynard St, Suite 906, Ann Arbor, MI 48104-2440 2006-12-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336603927 Julie Corey Counselor 2604 Brockman Blvd, Ann Arbor, MI 48104 2019-01-28
1003301045 Ann Arbor Pharmacy LLC Pharmacy 2418 E Stadium Blvd, Ann Arbor, MI 48104 2018-06-22
1811499304 Melissa L Wright Physical Therapist 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 2018-03-01
1689180226 Walgreen Co Durable Medical Equipment & Medical Supplies 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 2017-12-19
1861911547 Jonathen Ross Social Worker 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 2017-09-14
1275058521 Emily Lauren Hanna Social Worker 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 2017-08-08
1073035457 Raynaldo Juaquin Valdez Specialist/Technologist 500 E. Hoover Ave, Ann Arbor, MI 48104 2017-07-07
1912436908 Alison Nicole Tseng Dentist 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 2017-06-05
1528593183 Hillary Baldwin Steller, Lmsw,llc Social Worker 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 2017-04-20
1013360973 Teresa Myers Massage Therapist 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 2016-07-15
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790305068 Kole Mason Psychologist 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 2020-04-16
1174087308 Family Medical Center of Michigan,inc Psychologist 2025 Traverwood Dr Ste D, Ann Arbor, MI 48105-2197 2019-01-22
1710479704 Yoshiko Babcock Psychologist 2010 Hogback Rd Ste 7a, Ann Arbor, MI 48105-8800 2018-06-05
1982193256 Jacob B Nienhuis Psychologist 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 2018-05-02
1548553142 Barbara K Tapley Psychologist 2725 Packard Road, Suite 102, Ann Arbor, MI 48108-0000 2011-05-16
1033316286 Victoria L. Hays Psychologist 552 S Main St, Ann Arbor, MI 48104-2921 2007-06-29
1427190503 Mark Garrett Sampson Psychologist 120 E Liberty St Ste 300 D, Ann Arbor, MI 48104-2156 2007-02-13
1831241769 Sarah Talpaz Psychologist 321 S. Main Street, Suite 210, Ann Arbor, MI 48104-2117 2007-01-18
1487253985 Celine Marie Mcnelis-kline Psychologist 455 E Eisenhower Pkwy Ste 15, Ann Arbor, MI 48108-3321 2020-10-26
1487143137 Melissa Butler Psychologist 120 E Liberty St Ste 215, Ann Arbor, MI 48104-2156 2018-05-08
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Competitor

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City ANN ARBOR
Zip Code 48104

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Dataset Information

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.

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