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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301009499 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124066253 | James Robert Etzkorn | Internal Medicine | 2821 N Ballas Rd, Saint Louis, MO 63131-2321 | 2006-06-02 |
| Street Address |
400 MAYNARD ST SUITE 603 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-2440 |
| 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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| 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 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| 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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| 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.