ALLIANCE PSYCHOLOGICAL SERVICES (NPI# 1639558620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639558620 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PSYCHOLOGICAL SERVICES |
| Practice Address |
48562 Van Dyke Ave Suite F Shelby Township MI 48317-3269 |
| Mailing Address |
2175 London Bridge Dr Rochester Hills MI 48307-4234 |
| Practice Telephone | 2245958416 |
| Mailing Telephone | 2245958416 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | DR. ANTONINO AGOSTA (OWNER) |
| Authorized Official Telephone | 2245958416 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015487 | MI | Behavioral Health & Social Service Providers |
| Street Address |
48562 VAN DYKE AVE SUITE F |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48317-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225342801 | Best Care Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 48562 Van Dyke Ave, Suite B, Shelby Township, MI 48317-3269 | 2010-08-05 |
| 1699166579 | Kathleen Murphy | Counselor | 48562 Van Dyke Ave, Suite F, Shelby Township, MI 48317-3269 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708815 | Jazmine Niyae Williams | Psychologist | 4943 Pebble Crk E Apt 12, Shelby Township, MI 48317-6202 | 2019-09-09 |
| 1093146433 | Edna Chang | Psychologist | 45670 White Oak Dr, Shelby Township, MI 48315-6035 | 2013-12-11 |
| 1225368889 | Abh Corporation | Psychologist | 51221 Schoenherr, Suite 107, Shelby Township, MI 48315 | 2010-01-05 |
| 1801099965 | Abaris Behavioral Health | Psychologist | 5010 S Nocturne Ln, Shelby Township, MI 48316-5232 | 2007-06-07 |
| 1245299361 | Gary Joseph Fusciardi | Psychologist | 8061 21 Mile Rd, Suite #4, Shelby Township, MI 48317-4311 | 2006-03-18 |
| 1578160347 | Kristine Burgess | Psychologist | 50258 Van Dyke Ave, Shelby Township, MI 48317-1374 | 2020-10-05 |
| 1144647892 | Shelby Counseling, Inc. | Psychologist | 52188 Van Dyke Ave, Suite 320, Shelby Township, MI 48316-3567 | 2014-03-19 |
| 1548416464 | Christina Lynne Johnson | Psychologist | 47818 Van Dyke Ave, Shelby Township, MI 48317-3373 | 2008-08-12 |
| 1326177957 | Penelope Pigman | Psychologist | 53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819 | 2007-03-02 |
| 1972661122 | Sharon Nadine Rude | Psychologist | 53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819 | 2006-12-04 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
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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.