MR. BRUCE EDWARD GOLDBERG (NPI# 1336297449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336297449 |
| Entity Type | Individual |
| Full Name | MR. BRUCE EDWARD GOLDBERG |
| Credential | MSW |
| Practice Address |
33975 Dequindre Rd Suite 5 Troy MI 48083-4649 |
| Practice Telephone | 2484210717 |
| Mailing Telephone | 2484210717 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801069734 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700080181 | Bruce Alan Goldberg | Dentist | 611 Frederick Rd., Suite 101a, Catonsville, MD 21228-4779 | 2007-06-12 |
| 1568565190 | Bruce A Goldberg | Psychiatry & Neurology | 85 Constitution Lane, Ste 200c Liberty Tree Park, Danvers, MA 01923 | 2006-09-07 |
| 1649286832 | Bruce S Goldberg | Pharmacist | 1314 Ridgewood Ave, Omaha, NE 68124-1315 | 2006-07-31 |
| 1679637169 | Bruce A Goldberg | Chiropractor | 600 University Blvd, Ste 105, Jupiter, FL 33458-2778 | 2006-12-20 |
| 1699834200 | Bruce J. Goldberg | Allergy & Immunology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-12-08 |
| 1417957226 | Bruce J Goldberg | Orthopaedic Surgery | 1555 Barrington Rd, Ste 205, Hoffman Estates, IL 60169-1063 | 2005-07-22 |
| Street Address |
33975 DEQUINDRE RD SUITE 5 |
| City | TROY |
| State | MI |
| Zip Code | 48083-4649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114184470 | Danielle Sprecher | Psychologist | 33975 Dequindre Rd, Suite 5, Troy, MI 48083-4649 | 2008-05-22 |
| 1750411914 | Alyson Kay Rich | Psychologist | 33975 Dequindre Rd, Suite 5, Troy, MI 48083-4649 | 2007-03-06 |
| 1275670648 | Marjorie Ann Church | Counselor | 33975 Dequindre Rd, Suite 5, Troy, MI 48083-4649 | 2007-02-01 |
| 1851439160 | James A Martin | Counselor | 33975 Dequindre Rd, Suite 5, Troy, MI 48083-4649 | 2007-02-01 |
| 1326185711 | Diane Marie Mckelvie | Counselor | 33975 Dequindre Rd, Suite 5, Troy, MI 48083-4649 | 2007-02-01 |
| 1952448334 | Rebecca S Ehle | Counselor | 33975 Dequindre Rd, Suite 5, Troy, MI 48083 | 2007-02-01 |
| 1538206925 | Stephanie Ann Howey | Counselor | 33975 Dequindre Rd, Suite 5, Troy, MI 48083 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082210 | Stacey Smiley | Counselor | 144 Cedar Dr, Troy, AL 36079-4913 | 2020-08-07 |
| 1871137166 | Tyesha Durr | Counselor | 117 Green Dr, Troy, AL 36079-5701 | 2019-10-30 |
| 1598328130 | Starting Point Counseling | Counselor | 1305 S Brundidge St Ste G, Troy, AL 36081-3137 | 2019-04-18 |
| 1558827279 | Patricia Lynne Thaar-novak | Counselor | 2820 W Maple Rd Ste 128, Troy, MI 48084-7047 | 2019-02-19 |
| 1255803458 | Rosemary Carroll | Counselor | 5616 Patterson Dr, Troy, MI 48085-3924 | 2018-12-28 |
| 1164907754 | Patrick Eugene Hampton | Counselor | 82 County Road 5501, Troy, AL 36081-5906 | 2018-09-28 |
| 1770061509 | Experiential Mental Health Counseling LLC | Counselor | 120 Defreest Dr Ste 220, Troy, NY 12180-7608 | 2018-08-02 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1881191336 | Shana R Goldman | Counselor | 1600 7th Ave Ste 3, Troy, NY 12180-3410 | 2018-04-11 |
| 1326556879 | Masoumeh Moradi | Counselor | 2820 W Maple Rd Ste 100, Troy, MI 48084-7064 | 2018-01-18 |
| Find all providers in TROY | ||||
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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.