DR. KATHLEEN MAVOURNEEN CUSICK (NPI# 1679121461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679121461 |
Entity Type | Individual |
Full Name | DR. KATHLEEN MAVOURNEEN CUSICK |
Credential | PSYD |
Practice Address |
135 S Prospect St Ypsilanti MI 48198-7914 |
Mailing Address |
21637 Welch Rd Northville MI 48167-2101 |
Practice Telephone | 2487192845 |
Mailing Telephone | 2487192845 |
Enumeration Date | 2019-08-27 |
Last Update Date | 2019-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 6301016433 | MI | Behavioral Health & Social Service Providers |
Street Address |
135 S PROSPECT ST |
City | YPSILANTI |
State | MI |
Zip Code | 48198-7914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871592188 | Kristin A Keskey | Internal Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2005-07-19 |
1891303061 | Pfefferkorn Md Pllc | Internal Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-07-14 |
1346867728 | Samar Abouelella | Pharmacist | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-07-01 |
1528698107 | Adam Thomas Derubeis | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-01-22 |
1407495161 | Tanika Marie Dooley | Nurse Practitioner | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-12-29 |
1942767991 | Abram John Jensen | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-02-26 |
1932638145 | Midwest Management Company, LLC | Surgery | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-06-09 |
1346779881 | Sarah Elizabeth Schmitz | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-06-08 |
1164960787 | Donna Khoury | Counselor | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-02-02 |
1508220864 | University Neurosurgical Associates, PC | Neurological Surgery | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2016-04-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
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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 |
---|---|---|---|---|
1558808493 | Karla Maschalko | Psychologist | 1741 Cliffs Lndg Apt 5, Ypsilanti, MI 48198-7328 | 2017-01-30 |
1841652856 | Rhett Reyes | Psychologist | 5651 New Meadow Dr, Ypsilanti, MI 48197-7114 | 2016-03-28 |
1245605625 | Eastern Michigan University | Psychologist | 313 Snow Health Center, Eastern Michigan University, Ypsilanti, MI 48197 | 2015-12-10 |
1952739682 | Darryl Warner | Psychologist | 7165 Munger Rd, Ypsilanti, MI 48197-9322 | 2013-10-15 |
1023312857 | Emerson Lane Delacroix | Psychologist | 704 N Congress St, Suite 3, Ypsilanti, MI 48197-3318 | 2011-01-10 |
1174856694 | Jennifer Dangela | Psychologist | 7626 Kenton Ct, Ypsilanti, MI 48197-2944 | 2009-09-15 |
1588870984 | St Joseph Mercy Hospital | Psychologist | 5401 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2007-05-15 |
1578902433 | Teresa Keyes | Psychologist | 555 Towner St, Ypsilanti, MI 48198-5752 | 2013-06-24 |
1437593167 | Laura Higle | Psychologist | 555 Towner St, Ypsilanti, MI 48198-5723 | 2013-04-24 |
1053754820 | Lynn Ann Radabaugh | Psychologist | 555 Towner St, Ypsilanti, MI 48198-5752 | 2013-04-11 |
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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.