DR. HARRIET J. MALL (NPI# 1558441840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558441840 |
| Entity Type | Individual |
| Full Name | DR. HARRIET J. MALL |
| Credential | PH.D. |
| Practice Address |
30445 Northwestern Hwy Suite #240 Farmington Hills MI 48334-3158 |
| Practice Telephone | 2485385045 |
| Practice Fax Number | 2485381801 |
| Mailing Telephone | 2485385045 |
| Mailing Fax Number | 2485381801 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
6401005154 | MI | Behavioral Health & Social Service Providers |
| X | 103G00000X | Clinical Neuropsychologist | 6301008104 | MI | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 6301008104 | MI | Behavioral Health & Social Service Providers |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
6301008104 | MI | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
6301008104 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH | 11643507 | 01 |
| Street Address |
30445 NORTHWESTERN HWY SUITE #240 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487632345 | Leon Rubenfaer | Psychiatry & Neurology | 30445 Northwestern Hwy, Ofc 145, Farmington Hills, MI 48334-3174 | 2006-01-02 |
| 1710236518 | Joseph Berenholz, M.d., Pllc | Specialist | 30445 Northwestern Hwy, Suite 140, Farmington Hills, MI 48334-3158 | 2012-09-07 |
| 1619243995 | Joseph J. Prezzato M.d., Pllc | Obstetrics & Gynecology | 30445 Northwestern Hwy, Suite 140, Farmington Hills, MI 48334-3158 | 2012-03-30 |
| 1225260763 | Marcia B. Stein | Social Worker | 30445 Northwestern Hwy, Suite 360, Farmington Hills, MI 48334-3158 | 2009-08-18 |
| 1205056645 | Joseph James Prezzato | Obstetrics & Gynecology | 30445 Northwestern Hwy, Suite 140, Farmington Hills, MI 48334-3158 | 2007-04-26 |
| 1760545065 | Integrated Enterprises,p.c. | Counselor | 30445 Northwestern Hwy, Suite 240, Farmington Hills, MI 48334-3158 | 2006-12-18 |
| 1134237969 | Valerie Home Health Care Services Inc. | Home Health | 30445 Northwestern Hwy, 130, Farmington Hills, MI 48334-3158 | 2006-08-29 |
| 1194833269 | Kapil Dua | Physical Therapist | 30445 Northwestern Hwy, Ste. 280, Farmington Hills, MI 48334-3158 | 2006-08-28 |
| 1225045537 | Lorna Lacen Thomas | Dermatology | 30445 Northwestern Hwy, Ste 142, Farmington Hills, MI 48334 | 2006-08-01 |
| 1508892704 | Virendra Danu | Occupational Therapist | 30445 Northwestern Hwy, Ste 280, Farmington Hills, MI 48334-3158 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008959 | Nicole Bell | Counselor | 30747 Mystic Forest Dr, Farmington Hills, MI 48331-1106 | 2020-03-18 |
| 1598220386 | Danielle S Gordon | Counselor | 29997 Valley Side Dr, Farmington Hills, MI 48334-2067 | 2019-02-05 |
| 1780157347 | William Thomas | Counselor | 30835 W 10 Mile Rd # 1013, Farmington Hills, MI 48336-2607 | 2019-01-07 |
| 1821565219 | Denise Renee Tyus | Counselor | 30280 Kingsway Dr, Farmington Hills, MI 48331-1648 | 2018-10-24 |
| 1841785615 | Caryn Alexis Mccarthy Epps | Counselor | 28282 Gettysburg St Ste 101, Farmington Hills, MI 48331-3129 | 2018-06-25 |
| 1669986964 | Wenday Mccalep-edwards | Counselor | 27501 Westcott Crescent Cir, Farmington Hills, MI 48334-5349 | 2017-11-22 |
| 1962933051 | Shante' Davis | Counselor | 30275 Summit Dr Apt 105, Farmington Hills, MI 48334-2451 | 2017-03-21 |
| 1144766353 | Amy Lynn Ducklow | Counselor | 26105 Orchard Lake Road, Suite 309, Farmington Hills, MI 48334 | 2017-01-11 |
| 1154772408 | Laura S Mindell Pllc | Counselor | 32000 Northwestern Hwy, Suite 128, Farmington Hills, MI 48334-1565 | 2016-06-28 |
| 1316302920 | Vicki Ann Palmer | Counselor | 23332 Orchard Lake Rd Ste C, Farmington Hills, MI 48336-3280 | 2015-12-24 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on DR. HARRIET J. MALL.
| 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.