AMANDA KERBAWY (NPI# 1326408238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326408238 |
| Entity Type | Individual |
| Full Name | AMANDA KERBAWY |
| Practice Address |
6548 Town Center Dr Ste D Clarkston MI 48346 |
| Mailing Address |
495 Deer Path Trl Waterford MI 48327-4350 |
| Practice Telephone | 2483828207 |
| Mailing Telephone | 6513344473 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016872 | MI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
6301015992 | MI | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
6301015992 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 441 S Livernois Rd, Suite 100, Rochester Hills, MI 483072584 | 2486088800 |
| Street Address |
6548 TOWN CENTER DR STE D |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700999018 | Beverly Hartman | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2006-08-17 |
| 1871046839 | Kevin Engelman | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2016-07-26 |
| 1356780852 | Stacy E Golliff | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2013-06-18 |
| 1609122597 | Kathleen M Palmer | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2012-07-28 |
| 1679739700 | Richard Kneip, Ph.d., P.C. | Community/Behavioral Health | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2008-07-29 |
| 1154583342 | Bethany Joy Atwell | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2008-06-28 |
| 1558556035 | Kerry Lynn Leahy | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2007-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146720 | Jessica Leigh Teeples | Psychologist | 6060 Dixie Hwy Ste H, Clarkston, MI 48346-3476 | 2019-04-01 |
| 1548569049 | Adam R Pasciak | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2011-03-23 |
| 1447559513 | Kelli Lynn Shaheen | Psychologist | 5701 Bow Pointe Dr Ste 380, Clarkston, MI 48346-5406 | 2011-03-15 |
| 1336269158 | Richard W Brozovich | Psychologist | 7127 Perry Lake Rd, Clarkston, MI 48346-1655 | 2007-03-29 |
| 1477690576 | Jarod John Fitzgerald | Psychologist | 629 6th St, Clarkston, WA 99403-2010 | 2007-01-30 |
| 1962412601 | Marilyn Cecelia Kimble | Psychologist | 1138 Melrose Dr, Clarkston, GA 30021-2837 | 2006-08-08 |
| 1578587374 | M. Lynn Chambers | Psychologist | 3918 S Ortonville Rd, Suite E, Clarkston, MI 48348-1256 | 2006-07-26 |
| 1376524835 | Joseph Scott Allen Jr. | Psychologist | 7736 Ortonville Rd Ste A, Clarkston, MI 48348-4483 | 2005-11-10 |
| 1124633755 | Gianna Petz | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-09-10 |
| 1881225092 | Nikita Bhatnagar | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-01-28 |
| Find all providers in CLARKSTON | ||||
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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.