MS. MARY ANDREA DECLERCK (NPI# 1487920633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487920633 |
| Entity Type | Individual |
| Full Name | MS. MARY ANDREA DECLERCK |
| Credential | M.A., L.L.P |
| Practice Address |
50630 Chesterfield Rd Chesterfield MI 48051-4009 |
| Practice Telephone | 5869497680 |
| Practice Fax Number | 5869497681 |
| Mailing Telephone | 5869497680 |
| Mailing Fax Number | 5869497681 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2012-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301009690 | MI | Behavioral Health & Social Service Providers |
| Street Address |
50630 CHESTERFIELD RD |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48051-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376867135 | Amy Marie Desrocher | Counselor | 50630 Chesterfield Rd, Chesterfield, MI 48051-4009 | 2010-03-23 |
| 1639579741 | Gale Simon | Counselor | 50630 Chesterfield Rd, Chesterfield, MI 48051-4009 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083139877 | Courtney Lynn Wittfeldt | Nurse Practitioner | 48833 Shady Glen Dr, Chesterfield, MI 48051 | 2017-08-14 |
| 1477082972 | Kathryn Louise Bruhns Zemke | Behavior Technician | 53869 Connor Drive, Chesterfield, MI 48051 | 2017-06-08 |
| 1417352055 | Julie Yaroch | Counselor | 51629 Hale Lane, Chesterfield Twp., MI 48051 | 2014-10-24 |
| 1437579661 | Jennifer Groeneveld | Physical Therapist | 34095 23 Mile Road, Chesterfield, MI 48051 | 2014-04-28 |
| 1376874396 | Donna Sue Perkins | Counselor | 50630 Chesterfield Road, Chesterfield, MI 48051 | 2010-01-15 |
| 1134267016 | Gary Main Burnett | Counselor | 46360 Gratiot Ave., Chesterfield, MI 48051 | 2007-02-02 |
| 1003831660 | Bormans Inc | Pharmacy | 51328 Gratiot, Chesterfield Twp, MI 48051 | 2006-07-13 |
| 1447228168 | Stephanie Lynn Denner | Occupational Therapist | 47085 Gratiot, Ceterfield, MI 48051 | 2006-03-09 |
| 1821077827 | Kathleen Marie-sohn Kudzia | Counselor | 46360 Gratiot, Chesterfield, MI 48051 | 2006-01-10 |
| 1366904708 | Tmj & Sleep Therapy Centre of Macomb County, Pllc | Dentist | 50475 Gratiot, Suite 4, Chesterfield, MI 48051 | 2019-04-04 |
| Find all providers in zip 48051 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538877 | Mary Beth Moehl | Psychologist | 10111 Krause Rd, Chesterfield, VA 23832-6573 | 2018-05-10 |
| 1134242209 | David W Bailey | Psychologist | 14733 N Outer 40, Chesterfield, MO 63017-2027 | 2007-04-06 |
| 1669599387 | Gary Frank Krapf | Psychologist | 10811 Egret Ct, Chesterfield, VA 23838-8950 | 2007-03-26 |
| 1386781771 | Karen Ann Owens | Psychologist | 46360 Gratiot Ave, Chesterfield, MI 48051-2800 | 2007-02-01 |
| 1730152471 | Robert Earl Schnidman | Psychologist | 14377 Woodlake Drive, Suite 308, Chesterfield, MO 63017 | 2006-02-13 |
| 1346212115 | John Patrick Dwyer I | Psychologist | 10109 Krause Rd, Suite 100, Chesterfield, VA 23832-6501 | 2006-02-06 |
| 1700316767 | Tyler J Auclair | Psychologist | 53869 Connor Dr, Chesterfield, MI 48051-3930 | 2017-06-13 |
| 1851607709 | David Epstein | Psychologist | 10109 Krause Rd, Suite 100, Chesterfield, VA 23832-6501 | 2010-08-28 |
| 1013141134 | Brandywine Valley Consultants, Inc. | Psychologist | 8137 Lake Margaret Ter, Chesterfield, VA 23838 | 2009-05-04 |
| 1346383130 | Patricia Eileen Obrien | Psychologist | 46360 Gratiot Ave, Chesterfield, MI 48051-2800 | 2007-02-14 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48051 |
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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.