DEBRA ANN BRODIE (NPI# 1518956259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518956259 |
| Entity Type | Individual |
| Full Name | DEBRA ANN BRODIE |
| Credential | PH.D. |
| Practice Address |
3011 W Grand Blvd Suite 418 Detroit MI 48202-3096 |
| Practice Telephone | 3138711450 |
| Practice Fax Number | 3138711441 |
| Mailing Telephone | 3138711450 |
| Mailing Fax Number | 3138711441 |
| Enumeration Date | 2005-10-16 |
| Last Update Date | 2010-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 6301006340 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006340 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 38-3347895 | 01 |
| MI | DMC-CARE | 037492 | 01 |
| MI | VALUEOPTIONS | 38-3347895 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760818306 | Debra A Brodie | Registered Nurse | 10065 E Harvard Ave, Suite 400, Denver, CO 80231-5968 | 2013-09-14 |
| Street Address |
3011 W GRAND BLVD SUITE 418 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124772 | Crystal A. Jackson, Ph.d., LLP, LLC | Psychologist | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2020-08-14 |
| 1841707023 | Gospel Against Aids Inc | Community Health Worker | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2018-01-09 |
| 1033654595 | Tri-state Physicians Group PC | Emergency Medicine | 3011 W Grand Blvd, Suite 306, Detroit, MI 48202-3096 | 2016-12-19 |
| 1316482870 | New Center Medical PC | Emergency Medicine | 3011 W Grand Blvd, Suite 308, Detroit, MI 48202-3096 | 2016-12-19 |
| 1861934168 | Natlab Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 309, Detroit, MI 48202-3096 | 2016-11-17 |
| 1427501733 | Detroit Public Schools Community District | Local Education Agency (LEA) | 3011 W Grand Blvd, 11th Floor Fisher Building, Detroit, MI 48202-3096 | 2016-08-03 |
| 1518326610 | Gabriel Williams Dds PC | Dentist | 3011 W Grand Blvd, Suite 867, Detroit, MI 48202-3096 | 2016-02-17 |
| 1649645284 | Tcw Surgical Center LLC | Clinic/Center | 3011 W Grand Blvd, Suite 305, Detroit, MI 48202-3096 | 2015-12-08 |
| 1720469893 | Suprene Home Care Givers Agency LLC | Home Health | 3011 W Grand Blvd, 858, Detroit, MI 48202-3096 | 2015-06-15 |
| 1275925950 | Health Pro LLC | Pharmacy | 3011 W Grand Blvd, Suite 300, Detroit, MI 48202-3096 | 2015-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675568 | Andria Lynn Norman | Psychologist | 71 Garfield St Apt 270, Detroit, MI 48201-1907 | 2020-09-24 |
| 1639793011 | Lori Hale | Psychologist | 1071 W Lantz St, Detroit, MI 48203-5100 | 2020-06-02 |
| 1043728819 | Sami Farhat | Psychologist | 1025 E Forest Ave Bldg C, Detroit, MI 48207-1024 | 2018-01-16 |
| 1235644469 | Denise Elizabeth Wallace | Psychologist | 7310 Woodward Ave Ste 401, Detroit, MI 48202-3165 | 2017-12-11 |
| 1669843850 | Amyna Ftouni | Psychologist | 553 E Jefferson Ave, Detroit, MI 48226-4324 | 2015-10-13 |
| 1326424078 | Wendy Pandora Cody | Psychologist | 11253 Somerset Ave, Detroit, MI 48224-1128 | 2015-08-05 |
| 1629475199 | Renee Bouey | Psychologist | 18480 Lancashire St, Detroit, MI 48223-1325 | 2014-11-29 |
| 1649697343 | Shelby Wilson-drummond | Psychologist | 70 W Alexandrine St, Detroit, MI 48201-2051 | 2014-03-20 |
| 1184068975 | Shara L. Johnson | Psychologist | 19511 Greenfield Rd, Detroit, MI 48235-2016 | 2013-04-23 |
| 1649511015 | Lindsay Yeager Carr | Psychologist | 2629 Lenox St, Detroit, MI 48215-2667 | 2013-03-11 |
| Find all providers in DETROIT | ||||
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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.