KATHLEEN ELIZABETH MCDONNELL (NPI# 1578089504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578089504 |
Entity Type | Individual |
Full Name | KATHLEEN ELIZABETH MCDONNELL |
Credential | LLMSW |
Practice Address |
2060 Grand River Anx Ste 600 Brighton MI 48114-5312 |
Mailing Address |
31831 Grand River Ave Unit 40 Farmington MI 48336-4144 |
Practice Telephone | 8102208192 |
Mailing Telephone | 2482319104 |
Enumeration Date | 2017-08-22 |
Last Update Date | 2017-08-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
680195818 | MI | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 101YAO4OOX | 05 | |
MI | 101YA4OOX | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265835920 | Kathleen M Mcdonnell | Physical Therapist | 147 Hoosick St, Troy, NY 12180 | 2014-10-08 |
1447215272 | Kathleen Marie Mcdonnell | Nurse Practitioner | 2875 Union Rd, Suite 21, Cheektowaga, NY 14227-1465 | 2006-04-17 |
Street Address |
2060 GRAND RIVER ANX STE 600 |
City | BRIGHTON |
State | MI |
Zip Code | 48114-5312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093783052 | Key Development Center, Inc. | Case Management | 2060 Grand River Anx Ste 600, Brighton, MI 48114-5312 | 2006-03-08 |
1053933531 | Abigail Christi Andrews | Social Worker | 2060 Grand River Anx Ste 600, Brighton, MI 48114-5312 | 2020-05-07 |
1063068401 | Kelsey Lauren Wittla | Social Worker | 2060 Grand River Anx Ste 600, Brighton, MI 48114-5312 | 2019-08-12 |
1215407192 | Kristine K Nelson | Counselor | 2060 Grand River Anx Ste 600, Brighton, MI 48114-5312 | 2018-12-04 |
1518437581 | Lisa Marie Boschma | Counselor | 2060 Grand River Anx Ste 600, Brighton, MI 48114-5312 | 2018-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
Find all providers in zip 48114 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649879834 | Charles Skoler | Counselor | 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 | 2020-10-20 |
1376160168 | Scott Thomas Montgomery | Counselor | 1242 Baywood Cir, Brighton, MI 48116-6761 | 2020-06-29 |
1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
1407365638 | Pattric Davis | Counselor | 77f Warren St, Brighton, MA 02135-3601 | 2017-09-20 |
1780126383 | Yolanda Louise Cavicchio | Counselor | 19 Burton St Apt 2, Brighton, MA 02135-1503 | 2016-11-14 |
1528426749 | Gail Lee Sanchez | Counselor | 5586 S 154th Rd, Brighton, MO 65617 | 2016-02-02 |
1063835031 | Anne King-hudson | Counselor | 2060 Grand River Annex Ste 600, Brighton, MI 48114-5312 | 2014-01-28 |
1619308194 | Katie Brydon | Counselor | 7030 E 166th Pl, Brighton, CO 80602-4714 | 2013-12-09 |
1457782120 | Erin Theriault | Counselor | 9 Winship St, Brighton, MA 02135-3359 | 2013-12-06 |
1003164245 | Nicholas James Mitchell | Counselor | 10299 Grand River Rd Ste P, Brighton, MI 48116-9558 | 2012-08-20 |
Find all providers in BRIGHTON |
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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.