JOHN WILLIAM HEAD JR. (NPI# 1750393690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750393690 |
| Entity Type | Individual |
| Full Name | JOHN WILLIAM HEAD JR. |
| Credential | DO |
| Practice Address |
2925 Russell St Detroit MI 48207-4825 |
| Mailing Address |
19450 Argyle Cres Detroit MI 48203-1402 |
| Practice Telephone | 3133965300 |
| Mailing Telephone | 3137337641 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5101011560 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11105 E Jefferson Ave, Detroit, MI 482143317 | 3133965300 | |
| 19450 Argyle Cres, Detroit, MI 482031402 | 3137337641 | |
| 6309 Mack Ave Fl 4, Detroit, MI 482072302 | 3136701045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073048518 | John Head | Music Therapist | 5822 Ancient Oaks Dr, Humble, TX 77346-2901 | 2017-04-21 |
| 1073080255 | John Joseph Head | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2018-10-25 |
| Street Address |
2925 RUSSELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566761 | Pamela Jastrabek | Case Manager/Care Coordinator | 2925 Russell St, Detroit, MI 48207-4825 | 2020-07-23 |
| 1508483934 | Saturn Science - Integrated Behavioral Health School and Services | Case Management | 2925 Russell St, Detroit, MI 48207-4825 | 2020-07-01 |
| 1497384572 | Emily Deters | Registered Nurse | 2925 Russell St, Detroit, MI 48207-4825 | 2020-04-02 |
| 1437799764 | Randi Marie Jackson | Case Manager/Care Coordinator | 2925 Russell St, Detroit, MI 48207-4825 | 2020-01-15 |
| 1265072417 | Gaelle Lengue | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2020-01-15 |
| 1295372555 | Nausheen None Habib | Registered Nurse | 2925 Russell St, Detroit, MI 48207-4825 | 2019-12-05 |
| 1861039679 | Britney Nicole Pope | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2019-12-01 |
| 1740826577 | Sarah Ann Seifert | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2019-11-27 |
| 1497391361 | Livonia Shropshire | Social Worker | 2925 Russell St, Detroit, MI 48207-4825 | 2019-11-25 |
| 1184265639 | Andrea Michelle Marshall-diver | Registered Nurse | 2925 Russell St, Detroit, MI 48207 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| 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 |
|---|---|---|---|---|
| 1285126797 | Vijaya Gopal Kotha Md PC | Psychiatry & Neurology | 22101 Moross Rd Fl 6, Detroit, MI 48236-2148 | 2018-05-31 |
| 1851831713 | Jennifer L Rostamabadi-cook | Psychiatry & Neurology | 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 | 2017-02-26 |
| 1447604608 | Zaid Baha | Psychiatry & Neurology | 14533 Mack Ave, Detroit, MI 48215-2520 | 2016-04-14 |
| 1487035127 | Shehryar Khan | Psychiatry & Neurology | 1350 W Bethune St Apt 1704, Henry Ford Hospital Guest Housing, Detroit, MI 48202-2666 | 2015-06-17 |
| 1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
| 1588979421 | Tiwalola Olufunke Kolawole | Psychiatry & Neurology | 1 Ford Pl Ste 1f, Detroit, MI 48202-3450 | 2010-08-16 |
| 1033445754 | Robert Dale Smeed Jr. | Psychiatry & Neurology | 400 River Place Dr, Apt 4212, Detroit, MI 48207-5202 | 2009-10-30 |
| 1962699736 | Wendy Joy Besler | Psychiatry & Neurology | 3031 W Grand Blvd Ste 450, Detroit, MI 48202-3026 | 2007-09-26 |
| 1649497850 | Lindsay Rose Dykema | Psychiatry & Neurology | 2255 Atkinson St, Detroit, MI 48206-2010 | 2007-04-19 |
| 1316079270 | Bardia Gholami | Psychiatry & Neurology | 3901 Chrysler Dr Fl 3, Detroit, MI 48201 | 2007-03-09 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on JOHN WILLIAM HEAD JR..
| 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.