ELIZABETH LANE MCCULLOUGH (NPI# 1649227802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649227802 |
| Entity Type | Individual |
| Full Name | ELIZABETH LANE MCCULLOUGH |
| Credential | MD |
| Practice Address |
16836 Newburgh Rd Upc Livonia Livonia MI 48154 |
| Mailing Address |
3800 Woodward Ave Suite 702 Detroit MI 48201-2061 |
| Practice Telephone | 8883627792 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4101071482 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447416169 | Elizabeth Ann Mccullough | Specialist | 430 Sardis Rd, Union, SC 29379-8715 | 2008-08-01 |
| 1548496763 | Elizabeth Ann Mccullough | Counselor | 1814 Franklin St, Oakland, CA 94612-3487 | 2009-06-02 |
| 1508060898 | Elizabeth Mccullough | Internal Medicine | 4266 Sunbeam Rd, Jacksonville, FL 32257-2425 | 2007-06-12 |
| Street Address |
16836 NEWBURGH RD UPC LIVONIA |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972032423 | Rachel Rose Santoro | Psychiatry & Neurology | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2017-06-08 |
| 1154854420 | Brittany Anne Hammond | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2017-04-04 |
| 1326432584 | Steven Loren Shaw | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2015-03-26 |
| 1700131646 | Jaime M Arseneault | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2012-07-17 |
| 1891089322 | Divya Vemuri | Psychiatry & Neurology | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2011-06-01 |
| 1265765291 | Kimberly Shaye Dawson | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2009-09-09 |
| 1629227004 | Jessica Ranae Beatty | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2008-09-10 |
| 1790934156 | Victoria Anne Sargent | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2008-09-10 |
| 1336325877 | Annie M Grossman | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2008-01-15 |
| 1699950048 | Sabrina Ann Kumar | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2008-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235630492 | Alcona Citizens for Health, Inc. | Psychiatry & Neurology | 20010 Farmington Rd Rm 2, Livonia, MI 48152-1408 | 2018-02-23 |
| 1730408477 | Bominddy Inc. | Psychiatry & Neurology | 32744 Five Mile Rd, Livonia, MI 48154-3046 | 2010-05-20 |
| 1700014511 | Patrick Casey Gresham | Psychiatry & Neurology | 19986 Sunbury St, Livonia, MI 48152-2028 | 2009-06-30 |
| 1073720900 | Humera Athar | Psychiatry & Neurology | 20282 Middle Belt Rd, Livonia, MI 48152 | 2007-05-17 |
| 1346316023 | Stephen Gerald Landau | Psychiatry & Neurology | 37727 Professional Center Dr, Suite 115 D, Livonia, MI 48154-1195 | 2006-11-27 |
| 1013027309 | Anil K Jain | Psychiatry & Neurology | 14555 Levan Road Suite 313b, Suite 313b, Livonia, MI 48154-5083 | 2006-08-30 |
| 1558475517 | Surendra Kelwala | Psychiatry & Neurology | 36180 Five Mile Rd, Livonia, MI 48154-1919 | 2006-08-18 |
| 1518970268 | Fathy F Ishac | Psychiatry & Neurology | 18475 Farmington Rd, Livonia, MI 48152 | 2006-08-14 |
| 1205893013 | Leslee A Emerson | Psychiatry & Neurology | 38807 Ann Arbor Rd Ste 7, Livonia, MI 48150 | 2006-04-26 |
| 1609831825 | Suhasini S Mistry | Psychiatry & Neurology | 18420 Farmington Rd, Livonia, MI 48152-3588 | 2006-04-19 |
| Find all providers in LIVONIA | ||||
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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.