KRISTIN MICHEAL (NPI# 1609320084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609320084 |
| Entity Type | Individual |
| Full Name | KRISTIN MICHEAL |
| Credential | MA, LLP |
| Practice Address |
1440 Torrey Rd Ste E Fenton MI 48430-1340 |
| Practice Telephone | 6164390392 |
| Mailing Telephone | 6164390392 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301018325 | MI | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2700 Robert T Longway Blvd, Flint, MI 485032190 | 8104964955 |
| Street Address |
1440 TORREY RD STE E |
| City | FENTON |
| State | MI |
| Zip Code | 48430-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497069488 | Samantha Michelle Slack | Social Worker | 1440 Torrey Rd Ste E, Fenton, MI 48430 | 2010-08-02 |
| 1548759541 | Fenton Therapy Services LLC | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430-1340 | 2018-05-04 |
| 1306376546 | Agius Psychological Services, LLC | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430 | 2017-06-19 |
| 1437500436 | Savanna Loafman | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430 | 2016-06-30 |
| 1659762441 | Johnathan Agius | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430 | 2015-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649617317 | Joshua Mack Johnson | Psychologist | 1918 Georgetown Pkwy, Fenton, MI 48430-3223 | 2013-06-04 |
| 1003157520 | Lauren Ann Lay | Psychologist | 202 W Shiawassee Ave Ste 213, Fenton, MI 48430-2093 | 2013-03-07 |
| 1821034638 | Hugh Urban Armbruster | Psychologist | 127 N River St, Fenton, MI 48430-3800 | 2006-06-21 |
| 1942276928 | Jodie Gail Eckleberry-hunt | Psychologist | 2951 W. Shiawassee Ave, Fenton, MI 48430 | 2006-02-28 |
| 1548759541 | Fenton Therapy Services LLC | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430-1340 | 2018-05-04 |
| 1306376546 | Agius Psychological Services, LLC | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430 | 2017-06-19 |
| 1437500436 | Savanna Loafman | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430 | 2016-06-30 |
| 1659762441 | Johnathan Agius | Psychologist | 1440 Torrey Rd Ste E, Fenton, MI 48430 | 2015-02-15 |
| 1811311871 | Myriam Jensen | Psychologist | 113 N River St, Fenton, MI 48430-8998 | 2014-02-11 |
| 1790938132 | Continuum Psychiatric Services LLP | Psychologist | 111 Trealout Dr, Fenton, MI 48430-1481 | 2008-10-29 |
| Find all providers in FENTON | ||||
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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.