DR. KENNETH AXELRAD (NPI# 1538351051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538351051 |
| Entity Type | Individual |
| Full Name | DR. KENNETH AXELRAD |
| Credential | PH.D. |
| Practice Address |
27472 Schoenherr Rd Ste 105 Warren MI 48088-6687 |
| Mailing Address |
Po Box 36271 Grosse Pointe Farms MI 48236-0271 |
| Practice Telephone | 5867750357 |
| Practice Fax Number | 5867750357 |
| Mailing Telephone | 5867750357 |
| Mailing Fax Number | 5867750357 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
27472 SCHOENHERR RD STE 105 |
| City | WARREN |
| State | MI |
| Zip Code | 48088-6687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
| Find all providers in zip 48088 | ||||
| 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 |
|---|---|---|---|---|
| 1467061879 | Katrine Kirk | Psychologist | 334 Roxbury Mountain Road, Warren, VT 05674 | 2020-07-31 |
| 1578184131 | Transcend Psychological Services, P.l.l.c | Psychologist | 28767 Ryan Rd, Warren, MI 48092-2518 | 2020-05-05 |
| 1245733195 | Martha A Torres | Psychologist | 112 Town Center Dr, Warren, NJ 07059-2650 | 2018-03-16 |
| 1366805368 | Adam Cole Lorincz | Psychologist | 28871 Aline Dr, Warren, MI 48093-2690 | 2016-03-29 |
| 1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
| 1427365964 | Beatrice Schwarzkopf | Psychologist | 100 Old Stirling Rd, Warren, NJ 07059-5819 | 2010-09-03 |
| 1205160934 | Gerald E Poirier | Psychologist | 11022 Sunburst Ave, Warren, MI 48089-1040 | 2009-09-29 |
| 1427294255 | Tammy Dorraine Hays | Psychologist | 590 County Road 4810, Warren, TX 77664-6494 | 2008-12-29 |
| 1770797086 | Ronald Raymond Zelazowski | Psychologist | 315 Second Avenue, Ste 209, Warren, PA 16365-2434 | 2007-05-09 |
| 1679605075 | Fred Friedberg | Psychologist | 187 Kent Rd, Warren, CT 06754-1606 | 2007-03-12 |
| Find all providers in WARREN | ||||
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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.