MANDI WITHEY (NPI# 1518280056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518280056 |
| Entity Type | Individual |
| Full Name | MANDI WITHEY |
| Credential | LLP |
| Practice Address |
7784 Pontiac Lake Rd White Lake MI 48386 |
| Mailing Address |
4100 Picea Valley Ct Se Ada MI 49301-8587 |
| Practice Telephone | 2486664104 |
| Practice Fax Number | 2486664104 |
| Mailing Telephone | 6168942234 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
7784 PONTIAC LAKE RD |
| City | WHITE LAKE |
| State | MI |
| Zip Code | 48386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447733613 | Michelle A Warr | Occupational Therapist | 10770 Elizabeth Lake, White Lake, MI 48386 | 2018-09-12 |
| 1609368240 | Nerissa Sukarukoff | Speech-Language Pathologist | 9274 Steephollow Drive, White Lake, MI 48386 | 2018-05-30 |
| 1811322464 | Shanita Brumwell | Counselor | 10163 Cedar Island Rd, White Lake, MI 48386 | 2013-09-13 |
| 1619042348 | John Paul Zablocki | Dentist | John P Zablocki Dds, 9178 Highland Rd #3, White Lake, MI 48386 | 2006-11-21 |
| 1659456523 | Mark H Richter | General Practice | 8355 Highland Rd #106, White Lk, MI 48386 | 2006-10-26 |
| 1265554836 | Emily Marie Emerick | Occupational Therapist | 10770 Elizabeth Lake Rd, White Lake, MI 48386 | 2007-04-04 |
| 1306328216 | Christin J Gilbert | Counselor | 2073 Drury Ln, White Lake, MI 48386-1535 | 2018-09-06 |
| 1407020472 | John Walter Beiter | Counselor | 2000 Kingston St, White Lake, MI 48386-1613 | 2008-04-21 |
| 1790133551 | Paula Albright | Registered Nurse | 8941 Pontiac Lake Rd Apt 6, White Lake, MI 48386-1673 | 2016-06-01 |
| 1790238277 | Lana Ann Colwell | Specialist/Technologist, Other | 102 Arlene Ct, White Lake, MI 48386-1901 | 2016-08-01 |
| Find all providers in zip 48386 | ||||
| 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 |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 48386 |
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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.