DR. KATHLEEN MAVOURNEEN CUSICK


Address: 135 S Prospect St, Ypsilanti, MI 48198-7914
Phone: 2487192845

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301016433 MI Behavioral Health & Social Service Providers

Office Location

Street Address 135 S PROSPECT ST
City YPSILANTI
State MI
Zip Code 48198-7914

Providers in the same location

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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Providers in the same zip code

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
Find all providers in zip 48198

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in YPSILANTI

Competitor

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City YPSILANTI
Zip Code 48198

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Dataset Information

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.

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