ROCKAFELLOW PSYCHOLOGICAL SERVICES PC (NPI# 1538444930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538444930 |
| Entity Type | Organization |
| Organization Name | ROCKAFELLOW PSYCHOLOGICAL SERVICES PC |
| Practice Address |
1000 W University Dr Suite 202 Rochester MI 48307-1873 |
| Practice Telephone | 2486560500 |
| Practice Fax Number | 2486560501 |
| Mailing Telephone | 2486560500 |
| Mailing Fax Number | 2486560501 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DR. BRADLEY DEAN ROCKAFELLOW (PRESIDENT) |
| Authorized Official Telephone | 2482123153 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301012927 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1000 W UNIVERSITY DR SUITE 202 |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730272980 | Mary Johnson-palazzolo | Social Worker | 1000 W University Dr, 308, Rochester, MI 48307-1873 | 2006-10-02 |
| 1700238417 | Sarah Micallef | Dietitian, Registered | 1000 W University Dr, Suite 202, Rochester, MI 48307-1873 | 2016-07-06 |
| 1720405012 | University Pain Clinic - Rochester Pllc | Anesthesiology | 1000 W University Dr, Suite 100, Rochester, MI 48307-1873 | 2014-03-25 |
| 1790037000 | Rockafellow Psychological Services | Counselor | 1000 W University Dr, Suite 202, Rochester, MI 48307-1873 | 2012-10-10 |
| 1841505088 | Gregg D. Bobier, Dmd, PC | Clinic/Center | 1000 W University Dr, Suite 201, Rochester, MI 48307-1873 | 2010-08-12 |
| 1437308038 | Linda Carver | Social Worker | 1000 W University Dr, Suite 308, Rochester, MI 48307-1873 | 2008-09-18 |
| 1376792093 | Maria Dionisio | Social Worker | 1000 W University Dr, Ste 308, Rochester, MI 48307-1873 | 2008-09-18 |
| 1003078700 | Balanced Living Chiropractic of Rochester Pllc | Chiropractor | 1000 W University Dr, Suite 202, Rochester, MI 48307-1873 | 2008-06-25 |
| 1386812071 | Anthony J Catania, D.d.s., P,c. | Dentist | 1000 W University Dr, Suite 206, Rochester, MI 48307-1873 | 2008-02-14 |
| 1780882043 | Richard Anthony Cicala | Chiropractor | 1000 W University Dr, Suite 202, Rochester, MI 48307-1873 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
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| 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 |
|---|---|---|---|---|
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1780230060 | Madeline August | Psychologist | 291 Plymouth Ave S Apt 6, Rochester, NY 14608-2238 | 2019-08-13 |
| 1568902682 | Katlyn D Rice | Psychologist | 200 E River Rd Fl 3, Rochester, NY 14623-1212 | 2017-03-08 |
| 1891231916 | Alisa K. Phelps, Ph.d., Psychologist, Pllc | Psychologist | 697 Highland Ave, Rochester, NY 14620-3119 | 2017-01-12 |
| 1578967956 | Mary Frances Maida | Psychologist | 25 Canterbury Rd Ste 307, Rochester, NY 14607-3403 | 2014-10-14 |
| 1689085037 | Carrie Gleason | Psychologist | 900 W University Dr Ste B-3, Rochester, MI 48307-1817 | 2014-05-19 |
| 1043561335 | Ken Wadum, Ed.d. Lp | Psychologist | 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902-4286 | 2012-09-26 |
| 1477839223 | Trica L. Peterson | Psychologist | 675 Panorama Trl W, Suite 12, Rochester, NY 14625-2406 | 2011-10-25 |
| 1477866176 | Janette Lynn Funk | Psychologist | 1577 South Ave, Rochester, NY 14620-3914 | 2010-07-22 |
| 1174835714 | Barefootsouls-com Inc | Psychologist | 226 1st St, Rochester, MI 48307-2600 | 2010-07-12 |
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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.