R'TAVEOUS MERRITT (NPI# 1396110904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396110904 |
| Entity Type | Individual |
| Full Name | R'TAVEOUS MERRITT |
| Practice Address |
27567 Parkview Blvd Warren MI 48092-2975 |
| Practice Telephone | 5863813296 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
27567 PARKVIEW BLVD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1720638141 | Jody Cohen | Counselor | 212 Melius Rd, Warren, CT 06754-1505 | 2019-09-17 |
| 1821554304 | Tamara Dallaire | Counselor | 23 Denver Ave, Warren, RI 02885-1839 | 2019-02-20 |
| 1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
| 1689172827 | Megan Elizabeth Cook | Counselor | 5 Mountain Blvd Ste 4, Warren, NJ 07059-2625 | 2018-01-23 |
| 1518405190 | Tadarrio Lowery | Counselor | 414 Trumbull Ave Se, Warren, OH 44483-6339 | 2017-02-03 |
| 1144602897 | Alana Maria Nicolazzo | Counselor | 29203 Roan Dr, Warren, MI 48093-3566 | 2015-06-18 |
| 1346526753 | Weston Martin | Counselor | 648 Main St, Warren, RI 02885-4387 | 2011-10-30 |
| 1295962355 | Kimberly Beck | Counselor | 2000 East Market Street, Warren, OH 44483 | 2009-06-16 |
| 1528255247 | Karen Anne Teves-frazier | Counselor | 8150 Old 13 Mile Rd, Warren, MI 48093-8700 | 2007-09-26 |
| Find all providers in WARREN | ||||
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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.