MICHELLE RENEE VICTORIA (NPI# 1285094789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285094789 |
| Entity Type | Individual |
| Full Name | MICHELLE RENEE VICTORIA |
| Credential | LP PHD |
| Practice Address |
44000 W 12 Mile Rd Ste 101 Novi MI 48377-2646 |
| Mailing Address |
44000 W 12 Mile Rd Novi MI 48377-2644 |
| Practice Telephone | 2482263001 |
| Practice Fax Number | 2483476479 |
| Mailing Telephone | 8569810894 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301018352 | MI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
SI5583 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718978 | Michelle Rivera Victoria | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-09-09 |
| Street Address |
44000 W 12 MILE RD STE 101 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144422494 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 44000 W 12 Mile Rd Ste 101, Novi, MI 48377 | 2007-05-31 |
| 1437799723 | Hind Nasir Patros | Counselor | 44000 W 12 Mile Rd Ste 101, Novi, MI 48377-2646 | 2020-01-14 |
| 1134416597 | Koaki Beyersdorf | Counselor | 44000 W 12 Mile Rd Ste 101, Novi, MI 48377-2646 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053837534 | Ana-mercedes Flores | Psychologist | 27780 Novi Rd Ste 107, Novi, MI 48377-3427 | 2017-08-16 |
| 1497132047 | Francesca Pernice-duca | Psychologist | 24748 Highlands Dr, Novi, MI 48375-2624 | 2015-05-04 |
| 1669790341 | Kim D. Kemske, Psy.d., L.p., P.C. | Psychologist | 24505 Meadowbrook Rd, Novi, MI 48375-2845 | 2010-05-05 |
| 1114252939 | Lauren Radtke- Rounds | Psychologist | 21149 Dundee Dr, Novi, MI 48375-4743 | 2009-10-13 |
| 1992039804 | Krista Marie Clancy | Psychologist | 41935 12 Mile Rd., Chrildren's Hospital of Mi Autism Center, Novi, MI 48377 | 2009-09-24 |
| 1316115421 | Judy M Sobczak Phd PC | Psychologist | 28175 Haggerty Road, Suite 101, Novi, MI 48377-2903 | 2008-02-12 |
| 1487854576 | Fredric Sandler | Psychologist | 23383 Winnsborough, Novi, MI 48375-4007 | 2007-07-18 |
| 1134321110 | Lisa Marie Lewandowski-romps | Psychologist | 23965 Novi Rd Ste 110, Novi, MI 48375-3232 | 2007-06-03 |
| 1831210863 | Sandra Landau | Psychologist | 28175 Haggerty Rd Ste 129, Novi, MI 48377-2903 | 2007-04-03 |
| 1497893937 | Kimberly A White | Psychologist | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2007-02-04 |
| Find all providers in NOVI | ||||
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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.