ROSE DEMCZUK MD PLLC (NPI# 1619284320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619284320 |
| Entity Type | Organization |
| Organization Name | ROSE DEMCZUK MD PLLC |
| Practice Address |
7267 Taft Rd Bruce Twp MI 48065-3619 |
| Practice Telephone | 2486888057 |
| Practice Fax Number | 2486019991 |
| Mailing Telephone | 2486888057 |
| Mailing Fax Number | 2486019991 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | MS. ROSE DEMCZUK (OWNER) |
| Authorized Official Telephone | 2486888057 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 4301058105 | MI | Behavioral Health & Social Service Providers |
| Street Address |
7267 TAFT RD |
| City | BRUCE TWP |
| State | MI |
| Zip Code | 48065-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063095 | Trilogy Healthcare of Romeo, LLC | Skilled Nursing Facility | 71150 Orchard Crossing Lane, Romeo, MI 48065 | 2016-02-17 |
| 1801288931 | Authentic Living Therapy Center | Social Worker | 254 Fairgrove, Romeo, MI 48065 | 2015-02-26 |
| 1356739122 | Rite Aid Corp | Pharmacy | 298 N Main St, Romeo, MI 48065 | 2015-01-02 |
| 1306010657 | Erica Lee Mason | Physical Therapist | 67962 South Vandyke, Romeo, MI 48065 | 2008-04-17 |
| 1538365945 | Aks of Romeo LLC | Clinic/Center | 67962 S Van Dyke, Romeo, MI 48065 | 2007-06-22 |
| 1124150495 | Rodney Alan Rohloff | Dentist | 155 South Rawles St, Romeo, MI 48065 | 2007-03-12 |
| 1770610420 | Macomb County Mental Health | Community/Behavioral Health | 70288 Hillside Court, Bruce Township, MI 48065 | 2007-02-28 |
| 1801923172 | M Magsoudi Dds PC | Dentist | 229 North Bailey St, Romeo, MI 48065 | 2007-02-27 |
| 1922172436 | Harry Gee | Emergency Medicine | 80650 Van Dyke Avenue, Henry Ford Macomb Hospital, Romeo, MI 48065 | 2006-11-17 |
| 1801987136 | Kimberly C Hazel | Social Worker | 1 N Starkweather Aly Fl 3, Romeo, MI 48065 | 2006-09-28 |
| Find all providers in zip 48065 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046098 | Axon Psychology Group, PC | Clinical Neuropsychologist | 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 | 2020-08-31 |
| 1548814965 | Emily Nicole Robinett-ferrara | Clinical Neuropsychologist | 14050 Kingston St, Oak Park, MI 48237-1140 | 2019-07-25 |
| 1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
| 1992237176 | Lauren Marie Golla | Clinical Neuropsychologist | 111 E Court St Ste 1b, Flint, MI 48502-1649 | 2017-03-28 |
| 1750839783 | Ace Psychological Consultants LLC | Clinical Neuropsychologist | 1920 Livernois Rd Ste D, Troy, MI 48083-1770 | 2016-09-20 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1831516152 | Ira Lourie, Psy.d., Pllc | Clinical Neuropsychologist | 30051 High Valley Rd, Farmington Hills, MI 48331-2144 | 2014-03-25 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
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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.