HEATHER WEISE (NPI# 1447859871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447859871 |
Entity Type | Individual |
Full Name | HEATHER WEISE |
Credential | MS, TLLP |
Practice Address |
1777 Axtell Dr Ste 100 Troy MI 48084-4400 |
Mailing Address |
720 Channing St Ferndale MI 48220-3512 |
Practice Telephone | 2487870855 |
Mailing Telephone | 7159655721 |
Enumeration Date | 2020-10-16 |
Last Update Date | 2020-10-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6362009205 | MI | Behavioral Health & Social Service Providers |
Street Address |
1777 AXTELL DR STE 100 |
City | TROY |
State | MI |
Zip Code | 48084-4400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992971493 | Somerset Therapy Center | Chiropractor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2008-05-05 |
1740881044 | Angelia Evangelista | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-11-03 |
1861092280 | Paige Moore | Social Worker | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-26 |
1518566975 | Casey Lynn Webb | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
1619576006 | Evelyn Stilwell | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
1699374058 | Stefanie Kloiber | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-17 |
1588270904 | Rita Colleen Burd | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-21 |
1790390458 | Takween Dwaik | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-10 |
1265044556 | Mark Peyton Blanchard | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-08-19 |
1982216479 | Allison Cumper | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
Find all providers in zip 48084 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215549233 | Amelia Amin | Psychologist | 2855 Coolidge Hwy Ste 101, Troy, MI 48084-3215 | 2020-08-20 |
1316336506 | Krystle Charon Woods | Psychologist | 800 Stephenson Hwy Ste 250, Troy, MI 48083-1106 | 2015-01-12 |
1336409804 | Jenni Knowles, Ph.d., Lp, LLC | Psychologist | 200 E Big Beaver Rd # 116, Troy, MI 48083-1208 | 2012-05-18 |
1649550005 | Huilan Zhang | Psychologist | 2073 E Maple Rd, Troy, MI 48083-4493 | 2011-08-17 |
1205065182 | Shari Slebodnik | Psychologist | 1700 W Big Beaver Rd Ste 200, Troy, MI 48084-3524 | 2009-07-13 |
1134384274 | Rosalynn Marie Moten | Psychologist | 2215 Golfview Dr, Apt 202, Troy, MI 48084-3919 | 2008-07-28 |
1235323973 | Sarah Maxwell Gates | Psychologist | 122 Elmira Street, Suite B, Troy, PA 16947 | 2007-09-05 |
1043418098 | Warren Behavioral Care, Inc | Psychologist | 889 Elba Hwy, Troy, AL 36079-6017 | 2007-07-10 |
1225231160 | Christine Delange | Psychologist | 1700 W Big Beaver Rd, Suite 200, Troy, MI 48084-3530 | 2007-06-07 |
1912112657 | Edith Boswell | Psychologist | 2014 Laurel Dr, Troy, MI 48085-3821 | 2007-05-14 |
Find all providers in TROY |
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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.