MRS. RENEE LYNN STROTHMAN PETKOVICH (NPI# 1558704395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558704395 |
Entity Type | Individual |
Full Name | MRS. RENEE LYNN STROTHMAN PETKOVICH |
Credential | TLLP |
Practice Address |
19805 Farmington Rd Livonia MI 48152-1444 |
Practice Telephone | 2485365085 |
Enumeration Date | 2013-04-11 |
Last Update Date | 2015-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301015370 | MI | Behavioral Health & Social Service Providers |
N | 104100000X | Social Worker | 6802070173 | MI | Behavioral Health & Social Service Providers |
Street Address |
19805 FARMINGTON RD |
City | LIVONIA |
State | MI |
Zip Code | 48152-1444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508472358 | Lorelei Olivia Siemasz | Technician, Other | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2020-09-17 |
1538716469 | Michael Alan Leblanc | Technician, Other | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2019-08-26 |
1679039259 | Jeffrey Bellairs | Social Worker | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2019-02-19 |
1063988269 | Gabrielle R Schropp | Social Worker | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2018-10-16 |
1699240218 | Tasheema Jones-murray | Social Worker | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2018-10-10 |
1972086833 | Kathryn Keith | Social Worker | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2018-09-07 |
1508365164 | Lakeisha Dortch | Social Worker | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2018-02-08 |
1003341207 | Karen Larabell | Social Worker | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2017-04-25 |
1457809428 | Tiffany Fischer | Technician, Other | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2016-09-19 |
1346798857 | Damond Watkins | Technician, Other | 19805 Farmington Rd, Livonia, MI 48152-1444 | 2016-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
Find all providers in zip 48152 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962783878 | Halim Khidhir Naeem | Psychologist | 39293 Plymouth Rd Ste 118, Livonia, MI 48150-1060 | 2011-09-06 |
1104302322 | Veronica Nichole Thomas | Psychologist | 34935 Schoolcraft Rd Ste 207, Livonia, MI 48150-1317 | 2018-07-11 |
1588181697 | Jourdan Johnson | Psychologist | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2017-08-29 |
1972932515 | Jurgita Atanaskovski | Psychologist | 17940 Farmington Rd, Livonia, MI 48152-4444 | 2013-11-04 |
1164572129 | Alexandria Marie Torres | Psychologist | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2007-01-11 |
1558375360 | Madeline Wright | Psychologist | 17177 N Laurel Park Dr, Suite 131, Livonia, MI 48152-2693 | 2006-07-28 |
1982625331 | Denise Sole | Psychologist | 17177 N Laurel Park Dr, Suite 131, Livonia, MI 48152-2693 | 2006-07-21 |
1316965858 | Orlando L Villegas | Psychologist | 17177 N Laurel Park Dr, Suite 131, Livonia, MI 48152-2693 | 2006-07-17 |
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1912504002 | Being Centered LLC | Psychologist | 716 Amity St, Lowell, MI 49331-1388 | 2020-10-02 |
1972115251 | Transformative Counseling Services | Psychologist | 8965 Lenter Dr Se, Caledonia, MI 49316-7793 | 2020-08-19 |
1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
1790305068 | Kole Mason | Psychologist | 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 | 2020-04-16 |
1881229151 | Shannon Sugarman Psychotherapy | Psychologist | 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 | 2020-03-07 |
1376178020 | Pro-active Counseling LLC | Psychologist | 1410 84th St Sw, Byron Center, MI 49315-9344 | 2020-03-03 |
1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
1134761398 | Mackenzie Mercer | Psychologist | 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 | 2019-10-09 |
1568022465 | Grace Yensch | Psychologist | 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 | 2019-06-13 |
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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.