KATELYN CHRISTINA CODDAIRE (NPI# 1447644398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447644398 |
| Entity Type | Individual |
| Full Name | KATELYN CHRISTINA CODDAIRE |
| Other Name | KATELYN CHRISTINA BEALS |
| Credential | MA, LLP, LPC, CBIS |
| Practice Address |
3135 Professional Drive Ann Arbor MI 48104 |
| Practice Telephone | 7346774600 |
| Mailing Telephone | 7346774600 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
6401014746 | MI | Behavioral Health & Social Service Providers |
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
6301015429 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3135 PROFESSIONAL DRIVE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353476 | Myschelle Kelly | Psychologist | 1268 W Clark Rd Apt I2, Dewitt, MI 48820-9089 | 2019-12-16 |
| 1427576263 | Diana Lynn Springstead | Psychologist | 1160 Ransom St, Muskegon, MI 49442-3322 | 2017-08-31 |
| 1841227659 | Catharine Marie Kaneti | Psychologist | 235 Wealthy Street Se, Mary Free Bed Hospital, Grand Rapids, MI 49503-5299 | 2006-06-27 |
| 1740246339 | Jacobus Am Donders | Psychologist | 235 Wealthy Se, Grand Rapids, MI 49503 | 2006-04-24 |
| 1750347332 | Juliet Maria Coscia | Psychologist | 235 Wealthy Ave Se, Department of Psychology, Grand Rapids, MI 49503-5299 | 2006-04-24 |
| 1669829230 | Roger Lynn Erickson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2016-05-24 |
| 1801139134 | Kelly Jean Savage | Psychologist | 1350 E West Maple Rd, Suite 2, Walled Lake, MI 48390-3727 | 2013-04-04 |
| 1891037735 | Aspire Rehabilitation Services, LLC | Psychologist | 1000 John R Rd Ste 211, Troy, MI 48083-4317 | 2013-03-18 |
| 1235423104 | Kathryn Wilson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2011-06-08 |
| 1164744181 | Innovative Rehabilitation Systems, Inc | Psychologist | 525 E Big Beaver Rd, Suite 203, Troy, MI 48083-1364 | 2010-02-17 |
| Find all providers with the same taxonomy | ||||
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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.