NOEMI EBENSTEIN


Address: 30161 Southfield Rd, Suite 105, Southfield, MI 48076-1435
Phone: 2486447390

NOEMI EBENSTEIN (NPI# 1609010867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609010867
Entity Type Organization
Organization Name NOEMI EBENSTEIN
Other Organization Name NOEMI EBENSTEIN PHD PC
Practice Address 30161 Southfield Rd
Suite 105
Southfield
MI 48076-1435
Practice Telephone 2486447390
Mailing Telephone 2486447390
Enumeration Date 2009-04-30
Last Update Date 2009-04-30
Authorized Official Name DR. NOEMI EBENSTEIN (PRESIDENT)
Authorized Official Telephone 2486447390
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301002033 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE NUMBER 6301002033 01

Other Provider/Organization Names

Other Name Type Code
Noemi Ebenstein PHD PC Doing Business As Name - Organization

Office Location

Street Address 30161 SOUTHFIELD RD
SUITE 105
City SOUTHFIELD
State MI
Zip Code 48076-1435

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568505261 Judith Ellen Margerum Psychologist 30161 Southfield Rd, Suite 312, Southfield, MI 48076-1435 2007-02-14
1306289202 Lynn J Margolis Social Worker 30161 Southfield Rd, Southfield, MI 48076-1435 2013-04-10

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1760035752 Taliah Laneice Williams-hunter Counselor 30119 Sparkleberry Dr., Southfield, MI 48076 2019-07-19
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1215429212 Debra Deanes Counselor 30233 Southfiels Rd, 203, Southfield, MI 48076 2018-06-05
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831721794 Sara Molloy Psychologist 16000 W 9 Mile Rd Ste 315, Southfield, MI 48075-4835 2020-02-10
1487138038 Rose Camille Cook Psychologist 29500 Southfield Rd Ste 204, Southfield, MI 48076-2044 2018-09-19
1063951671 Palina Drake Psychologist 21650 W 11 Mile Rd Ste 107, Southfield, MI 48076-3715 2017-02-15
1285016071 The Help Couch, LLC Psychologist 29623 Northwestern Hwy, Southfield, MI 48034-1076 2015-06-29
1457745234 Joseph Matthew Stabrava Psychologist 21221 Poinciana St, Southfield, MI 48033-5043 2015-03-19
1528461746 Steven Mark Portnoy Psychologist 19875 Butternut Ln, Southfield, MI 48076-1795 2014-10-01
1790114098 Matthew Buryta Psychologist 22190 W 9 Mile Rd, Southfield, MI 48033-6007 2013-11-06
1780988568 Ruth Ann Hiner Psychologist 27136 Shagbark Dr, Southfield, MI 48076-3535 2011-01-07
1861637282 Katherine A Zell Psychologist 22190 W. 9 Mile Rd., Southfield, MI 48334 2008-12-15
1245480961 Jeffery Joseph Lusko Psychologist 24901 Northwestern Highway, Ste 500, Southfield, MI 48075 2008-09-30
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Competitor

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City SOUTHFIELD
Zip Code 48076

Improve Information

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Dataset Information

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.

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