MS. KATHLEEN MARIE CAVANAUGH (NPI# 1518238385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518238385 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MARIE CAVANAUGH |
| Credential | MSW CADC M |
| Practice Address |
3650 Dixie Hwy Waterford MI 48329-4290 |
| Mailing Address |
2412 Woodbourne Dr Waterford MI 48329-2472 |
| Practice Telephone | 2486744630 |
| Mailing Telephone | 2482591101 |
| Mailing Fax Number | 2484616020 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386143618 | Kathleen Cavanaugh | Social Worker | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-02-01 |
| 1992009427 | Kathleen Cavanaugh | Nurse Practitioner | 1600 Divisadero St, Box #1702, San Francisco, CA 94115-3010 | 2010-12-23 |
| 1225112717 | Kathleen G Cavanaugh | Nurse Anesthetist, Certified Registered | 4033 Talbot Rd S, #270, Renton, WA 98055-5772 | 2006-10-24 |
| Street Address |
3650 DIXIE HWY |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811906415 | Susan Lee Saltzman | Nurse Practitioner | 3650 Dixie Hwy, Waterford, MI 48329-4290 | 2006-08-05 |
| 1942844451 | Thomas George Grubba Jr. | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2019-10-29 |
| 1972151827 | Tara Elizabeth Barr | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2019-09-03 |
| 1922507441 | Jamie Phillips | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-2638 | 2018-02-10 |
| 1457874281 | Jill Amico | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2017-07-24 |
| 1538607502 | Nancy Woehlke | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2017-02-09 |
| 1588979876 | Genuine Solutions Counseling Center, Pllc | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4209 | 2010-08-11 |
| 1588801849 | Shannon Renee Fell | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4290 | 2009-01-08 |
| 1538229877 | Perfect Solutions Inc | Counselor | 3650 Dixie Hwy, Waterford, MI 48329-4290 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1104286046 | Kathryn Joanne Brown | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2016-03-04 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| 1790191690 | Therese Anne Dumas | Counselor | 1255 North Oakland Blvd, Waterford, MI 48327 | 2014-07-11 |
| 1992092811 | Jennifer Rae Hurst | Counselor | 1255 N Oakland Blvd Ste 100, Waterford, MI 48327-1578 | 2011-06-29 |
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1477737674 | Christine Joan Humphrey | Counselor | 1435 N. Oakland Blvd., Waterford, MI 48327 | 2007-12-24 |
| 1275743650 | Shania S Alexander | Counselor | 1255 N. Oakland Blvd, Waterford, MI 48327 | 2007-05-23 |
| 1467577510 | Lisa Ann Page | Counselor | 3720 Elizabeth Lake Rd, Waterford, MI 48328-3014 | 2007-03-20 |
| Find all providers in WATERFORD | ||||
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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.