RICHARD KNEIP, PH.D., P.C. (NPI# 1679739700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679739700 |
| Entity Type | Organization |
| Organization Name | RICHARD KNEIP, PH.D., P.C. |
| Other Organization Name | GREAT LAKES PSYCHOLOGY GROUP |
| Practice Address |
6548 Town Center Dr Ste D Clarkston MI 48346 |
| Mailing Address |
Po Box 210550 Auburn Hills MI 48321-0550 |
| Practice Telephone | 8006931916 |
| Practice Fax Number | 2486053525 |
| Mailing Telephone | 8006931916 |
| Mailing Fax Number | 2486053525 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | DR. RICHARD CARL KNEIP (PRESIDENT) |
| Authorized Official Telephone | 2487012017 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6301007060 | MI | Agencies |
| Other Name | Type Code |
|---|---|
| Great Lakes Psychology Group | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Heritage Dr Ste 520, Southgate, MI 481953051 | 8006931916 | 2486053525 |
| 1 Parklane Blvd Ste 1200, Dearborn, MI 481262400 | 8006931916 | 2486053525 |
| 13001 23 Mile Rd Ste 103, Shelby Township, MI 483152767 | 8006931916 | 2486053525 |
| 1560 Wall St Ste 204, Naperville, IL 605631146 | 8006931916 | 2486053525 |
| 17940 Farmington Rd, Livonia, MI 481524444 | 8006931916 | 2486053525 |
| 18303 E 10 Mile Rd Ste 200, Roseville, MI 480664989 | 8006931916 | 2486053525 |
| 39425 Garfield Rd Ste 23, Clinton Township, MI 480384651 | 8006931916 | 2486053525 |
| 41700 Gardenbrook Rd Ste 110, Novi, MI 483751320 | 8006931916 | 2486053525 |
| 8341 Office Park Dr Ste E, Grand Blanc, MI 484392077 | 8006931916 | 2486053525 |
| 89 W South Blvd, Troy, MI 480851611 | 8006931916 | 2486053525 |
| Street Address |
6548 TOWN CENTER DR STE D |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700999018 | Beverly Hartman | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2006-08-17 |
| 1871046839 | Kevin Engelman | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2016-07-26 |
| 1326408238 | Amanda Kerbawy | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2016-03-04 |
| 1356780852 | Stacy E Golliff | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2013-06-18 |
| 1609122597 | Kathleen M Palmer | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2012-07-28 |
| 1154583342 | Bethany Joy Atwell | Counselor | 6548 Town Center Dr Ste D, Clarkston, MI 48346 | 2008-06-28 |
| 1558556035 | Kerry Lynn Leahy | Psychologist | 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 | 2007-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578014627 | Progressive Lifestyle Inc | Community/Behavioral Health | 6969 Tappon Dr, Clarkston, MI 48346-2631 | 2016-10-24 |
| 1457802506 | Progressive Lifestyle Inc | Community/Behavioral Health | 8118 Fawn Valley Dr, Clarkston, MI 48348-4542 | 2016-10-24 |
| 1285185330 | Progressive Lifestyle Inc | Community/Behavioral Health | 5175 Timber Ridge Trl, Clarkston, MI 48346-3854 | 2016-10-24 |
| 1801347158 | Progressive Lifestyle Inc | Community/Behavioral Health | 6635 Laurelton, Clarkston, MI 48346-2304 | 2016-10-21 |
| 1982155644 | Progressive Lifestyle Inc | Community/Behavioral Health | 6463 Church St, Clarkston, MI 48346-2121 | 2016-10-18 |
| 1467903112 | Progressive Lifestyles Inc | Community/Behavioral Health | 8665 N Eston Rd, Clarkston, MI 48348-3514 | 2016-10-18 |
| 1457802118 | Progressive Lifestyle Inc | Community/Behavioral Health | 8300 Oak Hill Rd, Clarkston, MI 48348-1031 | 2016-10-18 |
| 1194176503 | Melissa Reich | Community/Behavioral Health | 6640 Pine Knob Rd, Clarkston, MI 48348-5137 | 2016-06-27 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1194115840 | Resolution Counseling | Community/Behavioral Health | 5840 Lorac Dr Ste 5, Clarkston, MI 48346-2915 | 2015-02-03 |
| Find all providers in CLARKSTON | ||||
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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.