DR. ADAM R PASCIAK (NPI# 1548569049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548569049 |
| Entity Type | Individual |
| Full Name | DR. ADAM R PASCIAK |
| Credential | PH.D., LP |
| Practice Address |
3604 Clarkston Rd Clarkston MI 48348-5215 |
| Practice Telephone | 2485959969 |
| Practice Fax Number | 2488140361 |
| Mailing Telephone | 2485959969 |
| Mailing Fax Number | 2488140361 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015095 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 032919 | 05 | |
| MI | BCBS CHRYSLER | 750910402 | 01 |
| MI | BLUE CROSS OUT OF STATE | 750910402 | 01 |
| MI | BCBS MICHIGAN | 750910402 | 01 |
| MI | BLUE CROSS TRUST | 750910402 | 01 |
| MI | HEALTHPLUS OF MICHIGAN | XX19153 | 01 |
| MI | BCBSFED | 750910402 | 01 |
| Street Address |
3604 CLARKSTON RD |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380469 | Deanna Martens | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2020-09-09 |
| 1699251769 | Allen Shamow | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2018-07-12 |
| 1083125017 | Elizabeth Therese Kreager | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-10-17 |
| 1851826879 | Maria E Summerford | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2017-04-27 |
| 1841672987 | Karyn Skiba | Social Worker | 3604 Clarkston Rd, Clarkston, MI 48348 | 2015-06-25 |
| 1255759486 | Lake Orion Counseling Center | Psychologist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2014-04-04 |
| 1184045676 | Tiffany Marie Laporte | Student in an Organized Health Care Education/Training Program | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-12-30 |
| 1225465396 | Life Skills Rehabilitation | Occupational Therapist | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2013-10-03 |
| 1821337635 | Denise Fanny Banyai | Counselor | 3604 Clarkston Rd, Suite 102, Clarkston, MI 48348-5215 | 2013-02-14 |
| 1801161286 | Kristen Kay Bernat | Counselor | 3604 Clarkston Rd, Clarkston, MI 48348-5215 | 2012-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| Find all providers in zip 48348 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146720 | Jessica Leigh Teeples | Psychologist | 6060 Dixie Hwy Ste H, Clarkston, MI 48346-3476 | 2019-04-01 |
| 1447559513 | Kelli Lynn Shaheen | Psychologist | 5701 Bow Pointe Dr Ste 380, Clarkston, MI 48346-5406 | 2011-03-15 |
| 1336269158 | Richard W Brozovich | Psychologist | 7127 Perry Lake Rd, Clarkston, MI 48346-1655 | 2007-03-29 |
| 1477690576 | Jarod John Fitzgerald | Psychologist | 629 6th St, Clarkston, WA 99403-2010 | 2007-01-30 |
| 1962412601 | Marilyn Cecelia Kimble | Psychologist | 1138 Melrose Dr, Clarkston, GA 30021-2837 | 2006-08-08 |
| 1578587374 | M. Lynn Chambers | Psychologist | 3918 S Ortonville Rd, Suite E, Clarkston, MI 48348-1256 | 2006-07-26 |
| 1376524835 | Joseph Scott Allen Jr. | Psychologist | 7736 Ortonville Rd Ste A, Clarkston, MI 48348-4483 | 2005-11-10 |
| 1124633755 | Gianna Petz | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-09-10 |
| 1881225092 | Nikita Bhatnagar | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-01-28 |
| 1194215970 | Ava Elizabeth Selke | Psychologist | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2018-05-16 |
| Find all providers in CLARKSTON | ||||
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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.