LEWIS & MIKKOLA COMPREHENSIVE PSYCHOLOGICAL SERVICES PLLC (NPI# 1447421672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447421672 |
| Entity Type | Organization |
| Organization Name | LEWIS & MIKKOLA COMPREHENSIVE PSYCHOLOGICAL SERVICES PLLC |
| Practice Address |
30200 Telegraph Rd Suite #402 Bingham Farms MI 48025-4502 |
| Practice Telephone | 2486443200 |
| Practice Fax Number | 2486443211 |
| Mailing Telephone | 2486443200 |
| Mailing Fax Number | 2486443211 |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-09-16 |
| Authorized Official Name | DR. BRENDA JAMES LEWIS (CO-DIRECTOR) |
| Authorized Official Telephone | 2486443200 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6301002406 | MI | Ambulatory Health Care Facilities |
| Street Address |
30200 TELEGRAPH RD SUITE #402 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659366680 | Melissa G Diffenderfer | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2005-09-15 |
| 1376001180 | Cheryl Lugean Mason | Counselor | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2019-03-11 |
| 1457843203 | Ashlyn Paige Compau | In Home Supportive Care | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2018-06-06 |
| 1932636727 | Justin Doty | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2017-05-11 |
| 1063864494 | Rhondi Lynne Mcgill | Social Worker | 30200 Telegraph Rd, Suite207, Bingham Farms, MI 48025-4502 | 2016-07-09 |
| 1790130953 | Samuel Broaden | Driver | 30200 Telegraph Rd, 404, Bingham Farms, MI 48025-4502 | 2016-04-25 |
| 1376942599 | Lisa Ann Weiss | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-08-14 |
| 1619384815 | Brian David Bradley | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-07-20 |
| 1730511346 | Direct Path Services, P.C. | Clinical Medical Laboratory | 30200 Telegraph Rd, Suite 405, Bingham Farms, MI 48025-4502 | 2013-08-06 |
| 1881036754 | Apex Therapy Services, Inc | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528588050 | Schwartz Therapy & Wellness, P.C. | Clinic/Center | 30800 Telegraph Rd Ste 1775, Bingham Farms, MI 48025-4593 | 2017-06-26 |
| 1013187541 | Heron Ridge Associates, Plc | Clinic/Center | 31000 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-4360 | 2008-03-12 |
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| 1720685464 | Thiera Danyal Therapy and Wellness LLC | Clinic/Center | 10216 Beaconsfield St, Detroit, MI 48224-2573 | 2020-10-06 |
| 1871100602 | Sbh Ventures LLC | Clinic/Center | 700 Golfcrest Dr, Dearborn, MI 48124-1121 | 2020-09-25 |
| 1558978593 | Katie M Wyss Lmsw, LLC | Clinic/Center | 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 | 2020-09-24 |
| 1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
| 1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
| 1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on LEWIS & MIKKOLA COMPREHENSIVE PSYCHOLOGICAL SERVICES PLLC.
| 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.