MARK W. METALSKI (NPI# 1639574700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639574700 |
| Entity Type | Individual |
| Full Name | MARK W. METALSKI |
| Credential | LLP |
| Practice Address |
1410 S Telegraph Rd Bloomfield Hills MI 48302-0046 |
| Practice Telephone | 2484568150 |
| Mailing Telephone | 2484568150 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301003887 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1410 S TELEGRAPH RD |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-0046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720090 | Talia Danielle Mcnamara | Psychiatry & Neurology | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2008-05-21 |
| 1336631944 | Eric Randell Simmons | Emergency Medical Technician, Basic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-05-31 |
| 1881192219 | Anderia Jackson | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-31 |
| 1659879872 | Jeffrey Good | Emergency Medical Technician, Paramedic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-23 |
| 1396253639 | Ryan Wells | Emergency Medical Technician, Paramedic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-22 |
| 1053828137 | Kevin Ezell Sanders | Counselor | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2018-01-10 |
| 1700398211 | Barry O'malley | Specialist/Technologist, Other | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-10-25 |
| 1871003673 | Valeria Diaz | Case Manager/Care Coordinator | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-10-06 |
| 1831614361 | Lee Clark Green | Emergency Medical Technician, Basic | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-08-05 |
| 1053841825 | Susan Rebecca Malott | Registered Nurse | 1410 S Telegraph Rd, Bloomfield Hills, MI 48302-0046 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689926495 | Rachael Helene Herkowitz | Psychologist | 74 W Long Lake Rd, Suite 104, Bloomfield Hills, MI 48304-2769 | 2012-10-04 |
| 1508044900 | Jennifer L Friedman | Psychologist | 74 W Long Lake Rd, Suite 104, Bloomfield Hills, MI 48304-2769 | 2008-02-07 |
| 1851578983 | Jina Yoon | Psychologist | 74 W Long Lake Rd, Suite 104, Bloomfield Hills, MI 48304-2769 | 2008-01-31 |
| 1083891527 | Stuart G Itzkowitz | Psychologist | 74 W Long Lake Rd, Suite 104, Bloomfield Hills, MI 48304-2769 | 2008-01-28 |
| 1750402863 | Linda D Seltzer-sucher | Psychologist | 74 W Long Lake Rd, Suite 104, Bloomfield Hills, MI 48304-2769 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820598 | Alexander William Krieg | Psychologist | 31235 Ramble Rd, Franklin, MI 48025-1367 | 2020-10-26 |
| 1699389395 | Linda D Seltzer-sucher Phd LLC | Psychologist | 275 Bryn Mawr St, Birmingham, MI 48009-1501 | 2020-09-01 |
| 1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
| 1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
| 1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
| 1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
| 1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.