ANDREA BRENT (NPI# 1679974851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679974851 |
| Entity Type | Individual |
| Full Name | ANDREA BRENT |
| Credential | MA |
| Practice Address |
26105 Orchard Lake Rd Ste 207 Farmington Hills MI 48334-4578 |
| Mailing Address |
26545 Alden St Madison Heights MI 48071-3884 |
| Practice Telephone | 9893175007 |
| Mailing Telephone | 9893175007 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016808 | MI | Behavioral Health & Social Service Providers |
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 W Big Beaver Rd, Troy, MI 480843545 | 2489185600 |
| Street Address |
26105 ORCHARD LAKE RD STE 207 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-4578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003087 | Kenisha Latoya Parham | Psychologist | 26105 Orchard Lake Rd Ste 207, Farmington Hills, MI 48334-4578 | 2019-09-25 |
| 1043868334 | Jessica Leigh Ortiz | Psychologist | 26105 Orchard Lake Rd Ste 207, Farmington Hills, MI 48334-4578 | 2019-08-29 |
| 1649797259 | Bryan Peterson | Psychologist | 26105 Orchard Lake Rd Ste 207, Farmington Hills, MI 48334-4578 | 2017-08-24 |
| 1649797325 | Catherine Krstevski | Psychologist | 26105 Orchard Lake Rd Ste 207, Farmington Hills, MI 48334-4578 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1386265247 | Maram Hakim | Psychologist | 29455 Sylvan Ln, Farmington Hills, MI 48334-4071 | 2020-05-02 |
| 1861964850 | Eleni Burduvali | Psychologist | 31275 Northwestern Hwy Ste 201, Farmington Hills, MI 48334-2596 | 2019-01-02 |
| 1174015242 | Gail Marie Bennett | Psychologist | 31251 Applewood Ln, Farmington Hills, MI 48331-1217 | 2018-06-04 |
| 1134625759 | Shelley Taylor, M.a., L.l.p., LLC | Psychologist | 26105 Orchard Lake Rd Ste 110, Farmington Hills, MI 48334-4577 | 2018-04-03 |
| 1972029676 | Shannon Marie Harbin | Psychologist | 31700 W 12 Mile Rd Ste 100, Farmington Hills, MI 48334 | 2017-08-15 |
| 1669906988 | Barlow Professional Services Inc. | Psychologist | 31800 Northwestern Hwy Ste 340, Farmington Hills, MI 48334-1665 | 2017-04-13 |
| 1518350156 | Ciera Corine Bies | Psychologist | 26811 Orchard Lake Rd, Farmington Hills, MI 48334-4512 | 2015-03-06 |
| 1114318524 | Carey Anne Charles | Psychologist | 34277 Ramble Hills Dr, Farmington Hills, MI 48331-4206 | 2015-02-08 |
| 1386082527 | Marisa Lynne Palance | Psychologist | 22451 Vacri Ln, Farmington Hills, MI 48335-3851 | 2013-06-10 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on ANDREA BRENT.
| 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.