JOHN W. MCCASKILL, PH.D., PLLC


Address: 409 Plymouth Rd Ste 250, Plymouth, MI 48170-1842
Phone: 7344169098

JOHN W. MCCASKILL, PH.D., PLLC (NPI# 1356660583) 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) 1356660583
Entity Type Organization
Organization Name JOHN W. MCCASKILL, PH.D., PLLC
Practice Address 409 Plymouth Rd Ste 250
Plymouth
MI 48170-1842
Practice Telephone 7344169098
Practice Fax Number 7344160158
Mailing Telephone 7344169098
Mailing Fax Number 7344160158
Enumeration Date 2010-05-27
Last Update Date 2010-05-29
Authorized Official Name DR. JOHN WALTON MCCASKILL IV (LICENSED CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 7344169098
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301012562 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI NPPES 1801825542 01
MI BOARD OF PSYCHOLOGY 6301012562 01

Office Location

Street Address 409 PLYMOUTH RD STE 250
City PLYMOUTH
State MI
Zip Code 48170-1842

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023588787 Truc Thanh Nguyen Psychologist 409 Plymouth Rd Ste 250, Plymouth, MI 48170-1842 2018-11-26
1386113231 Emily Audrey Kavanagh Psychologist 409 Plymouth Rd Ste 250, Plymouth, MI 48170-1842 2018-11-21
1700355153 Emily Bednar Psychologist 409 Plymouth Rd Ste 250, Plymouth, MI 48170-1842 2018-11-15
1689029290 Amanda Jo Klingensmith Psychologist 409 Plymouth Rd Ste 250, Plymouth, MI 48170-1842 2016-05-02
1700252012 Nicole Wozniak Psychologist 409 Plymouth Rd Ste 250, Plymouth, MI 48170 2015-08-20

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1003470964 Smiley Private Homecare LLC Technician, Pathology 1098 Ann Arbor Rd #249, Plymouth, MI 48170 2019-04-26
1275003832 Atsalis Dental Excellence Dentist 690 South Main St, Plymouth, MI 48170 2018-11-27
1275003808 Danielle Cefalo Speech-Language Pathologist 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 2018-11-27
1962987966 Mindful Wellness Counseling, LLC Social Worker 9266 Northern Ave, Plymouth, MI 48170 2018-09-26
1972094027 Plymouth Urgent Care Walk-in Clinic LLC Clinic/Center 1498 S Sheldon Rd, Plymouth, MI 48170 2018-05-24
1356843791 Polaris Pharmacy Services of Michigan, LLC Pharmacy 9131 General Court, Plymouth, MI 48170 2018-03-01
1528569787 Alcona Citizens for Health Inc Clinic/Center 101 S Union St Unit 101, Plymouth, MI 48170 2018-02-23
1073029484 Holly Ann Haase Technician/Technologist 650 Church St, Plymouth, MI 48170 2017-12-20
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790264760 Tasha Leno Psychologist 595 Forest Ave Ste 7a, Plymouth, MI 48170-1777 2018-08-10
1679059968 Life Improved, LLC Psychologist 300 Main Street, Suite 200, Plymouth, NH 03264 2018-07-19
1952891038 Charles Francis Carroll Psychologist 17 Alvin Rd, Plymouth, MA 02360-3920 2018-05-15
1861914863 Steven Schwartz Psychologist 12431 Howland Park Dr, Plymouth, MI 48170-2894 2017-07-11
1366827016 Juliann Knochel Psychologist 42325 Ann Arbor Rd E, Plymouth, MI 48170-4356 2015-07-23
1851781959 Stephen Mangin Psychologist 42245 Ann Arbor Rd E Ste 101, Plymouth, MI 48170-4311 2015-01-27
1649683517 Heather M Delcourt Psychologist 595 Forest Ave Ste 11a, Plymouth, MI 48170-1777 2014-06-08
1952730723 Amanda Michelle Henderson Bills Psychologist 199 N Main St Ste 200, Plymouth, MI 48170-1286 2013-11-02
1255779492 Heather D Haggerty Psychologist 340 N Main St Ste 201, Plymouth, MI 48170-1290 2013-06-10
1164705471 Ruth C. Rowbotham Psychologist 225 Water St Ste A115, Plymouth, MA 02360-4060 2011-09-22
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Competitor

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City PLYMOUTH
Zip Code 48170

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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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