ANGELA DUBOIS (NPI# 1396071205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396071205 |
| Entity Type | Individual |
| Full Name | ANGELA DUBOIS |
| Other Name | ANGELA LIJEWSKI |
| Credential | LLP |
| Practice Address |
720 W Wackerly St Ste 11 Midland MI 48640-2769 |
| Mailing Address |
720 W Wackerly St Ste 11 Midland MI 48640-2769 |
| Practice Telephone | 9898322165 |
| Practice Fax Number | 9898394376 |
| Mailing Telephone | 9898322165 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301014060 | MI | Behavioral Health & Social Service Providers |
| Street Address |
720 W WACKERLY ST STE 11 |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225169519 | Rebecca Brumm | Counselor | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2007-03-08 |
| 1780283051 | Danielle Paull | Psychologist | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2020-10-19 |
| 1154920429 | Mikaela Overton | Psychologist | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2020-10-19 |
| 1124625215 | Michelle Ann Northrop | Counselor | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2020-10-02 |
| 1578193363 | Susan Prill-wallace | Social Worker | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2020-01-21 |
| 1417517087 | Kelly Fitzpatrick | Social Worker | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2019-06-17 |
| 1073048799 | Rebecca Wang | Counselor | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2017-05-01 |
| 1215483805 | Nicole Ryan Schram | Counselor | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2016-09-01 |
| 1952751067 | Nicholas Gallagher | Social Worker | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2016-06-20 |
| 1073978797 | Martina Rose-pontious Ricards | Social Worker | 720 W Wackerly St Ste 11, Midland, MI 48640-2769 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184251 | Think To Thrive Psychological Services Pllc | Psychologist | 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 | 2020-11-03 |
| 1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
| 1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
| 1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
| 1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
| 1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
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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.