MR. DOUGLAS LOCKWOOD (NPI# 1548256662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548256662 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS LOCKWOOD |
| Credential | PSYCHOLOGIST LL |
| Practice Address |
677a East Main Centreville MI 49032 |
| Practice Telephone | 2694671000 |
| Mailing Telephone | 2694671000 |
| Mailing Fax Number | 2694673075 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2009-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301002991 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | P10G510150 | 01 |
| MI | 1708146 | 05 |
| Street Address |
677A EAST MAIN |
| City | CENTREVILLE |
| State | MI |
| Zip Code | 49032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721314 | Lynelle M Girton-thrasher | Social Worker | 677a East Main, Centreville, MI 49032 | 2005-09-23 |
| 1679700611 | Katherine Marie Goddeyne | Social Worker | 677a East Main, Centreville, MI 49032 | 2009-06-17 |
| 1285878413 | Travis James Ericksen | Counselor | 677a East Main, Centreville, MI 49032 | 2009-05-01 |
| 1285875708 | Michelle Johnson | Social Worker | 677a East Main, Centreville, MI 49032 | 2009-03-12 |
| 1235375031 | Angela Nichoele Johnson | Counselor | 677a East Main, Centreville, MI 49032 | 2008-12-29 |
| 1265687396 | Sharon A Hertlein | Registered Nurse | 677a East Main, Centreville, MI 49032 | 2008-11-17 |
| 1528210556 | Geetha Dhatreecharan | Psychiatry & Neurology | 677a East Main, Centreville, MI 49032 | 2008-10-22 |
| 1346405826 | Brian Randall Scott | Counselor | 677a East Main, Centreville, MI 49032 | 2008-07-23 |
| 1326224882 | Daniel Spencer Price | Psychologist | 677a East Main, Centreville, MI 49032 | 2008-01-15 |
| 1508046921 | Benjamin Joseph Karle | Social Worker | 677a East Main, Centreville, MI 49032 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901815 | Bridge Healthcare Pharmacy LLC | Pharmacy | 658 E. Main St, Suite 1, Centreville, MI 49032 | 2017-06-09 |
| 1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
| 1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
| 1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
| 1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
| 1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
| 1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| Find all providers in zip 49032 | ||||
| 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 |
|---|---|---|---|---|
| 1821398595 | Diana Lynne Pierce | Psychologist | 677 East Main St, Suite A, Centreville, MI 49032 | 2010-10-28 |
| 1326224882 | Daniel Spencer Price | Psychologist | 677a East Main, Centreville, MI 49032 | 2008-01-15 |
| 1033217724 | Marion E Heddle-key | Psychologist | 677a East Main, Centreville, MI 49032 | 2006-09-20 |
| 1922094697 | Tom G Kelly | Psychologist | 677a East Main, Centreville, MI 49032 | 2005-09-27 |
| 1730175498 | Gregory Ross | Psychologist | 677a East Main, Centreville, MI 49032 | 2005-09-27 |
| 1336135466 | Heather Marie Kerr | Psychologist | 677a East Main, Centreville, MI 49032 | 2005-09-23 |
| 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 |
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| City | CENTREVILLE |
| Zip Code | 49032 |
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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.