MS. MARY SUSANNE MILLER (NPI# 1760551774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760551774 |
| Entity Type | Individual |
| Full Name | MS. MARY SUSANNE MILLER |
| Credential | M.A., L.L.P. |
| Practice Address |
N15019 Hannahville B1 Rd. Wilson MI 49896 |
| Mailing Address |
8191 41.5 Rd Rapid River MI 49878-9719 |
| Practice Telephone | 9064662878 |
| Practice Fax Number | 9064669144 |
| Mailing Telephone | 9064463658 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301008913 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093322166 | Mary Miller | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd, Brookline, MA 02445-6911 | 2020-09-23 |
| 1396377123 | Mary Angela Miller | Dietitian, Registered | 560 Jacob Close, Gahanna, OH 43230-2884 | 2020-02-10 |
| 1063050516 | Mary Ann Miller | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2019-12-16 |
| 1215585070 | Mary Mccall Miller | Technician | 9436 Sacramento Dr, New Port Richey, FL 34655-1619 | 2019-08-26 |
| 1467932186 | Mary Miller | Licensed Vocational Nurse | 1035 Fm 971, Georgetown, TX 78626-4520 | 2018-08-21 |
| 1467943019 | Mary Laborde Miller | Dentist | 2425 33rd Ave W, Seattle, WA 98199-3255 | 2018-05-18 |
| 1225540578 | Mary Katherine Miller | Registered Nurse | 100 Ucla Medical Plz Ste 730, Los Angeles, CA 90024-6995 | 2017-10-26 |
| 1306384466 | Mary Miller | Speech-Language Pathologist | 1585 Wedgewood Dr, Piqua, OH 45356-8592 | 2017-02-08 |
| 1437529518 | Mary Ellen Miller | Dietitian, Registered | 6505 Robbie Creek Cv, Austin, TX 78750-8130 | 2015-10-01 |
| Street Address |
N15019 HANNAHVILLE B1 RD. |
| City | WILSON |
| State | MI |
| Zip Code | 49896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528412780 | Jesse Bingham | Physical Therapy Assistant | N14010 Depas Ln, Wilson, MI 49896 | 2016-04-14 |
| 1275743676 | Lori Jean Macintosh | Registered Nurse | N15019 Hannahville B1 Road, Wilson, MI 49896 | 2007-05-23 |
| 1467551291 | Hannahville Health Center Pharmacy | Clinic/Center | N15019 Hannahville B-1 Rd, Wilson, MI 49896 | 2006-09-21 |
| 1922112812 | Hannahville Indian Community | Pharmacy | W365 Us 2 & 41, Suite 600, Wilson, MI 49896 | 2006-08-18 |
| 1154331205 | Sally J Oliver | Pharmacist | N15019 Hannahville B-1 Road, Wilson, MI 49896 | 2006-08-09 |
| 1316956345 | Jodi L Greenfield | Family Medicine | N15019, Wilson, MI 49896 | 2006-08-07 |
| 1184644551 | Erin Marie Davis | Dietitian, Registered | N15019 Hannahville B1 Rd, Wilson, MI 49896 | 2006-07-20 |
| 1154531549 | David Alan Berg | Social Worker | N15019 Hannahville B1 Rd, Wilson, MI 49896 | 2007-05-23 |
| 1790869436 | Hannahville Indian Community | Clinic/Center | N15019 Hannahville B1 Rd, Wilson, MI 49896 | 2006-10-25 |
| 1043751407 | Benjamin Richards | Nurse Practitioner | N13871 County Road 557, Wilson, MI 49896-9772 | 2017-03-17 |
| Find all providers in zip 49896 | ||||
| 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 |
|---|---|---|---|---|
| 1528186582 | Eddie Stuart Tessnear | Psychologist | 2403 Wooten Blvd Sw, Suite E, Wilson, NC 27893-4463 | 2007-03-27 |
| 1740252378 | Paul J Speziale | Psychologist | 2401 Wooten Blvd Sw, Suite K, Wilson, NC 27893-4464 | 2006-02-07 |
| 1063414423 | Elizabeth Botzer | Psychologist | 4373 Chestnut Rd, Wilson, NY 14172 | 2005-08-15 |
| 1104179340 | Psychological Mobile Services, Pa | Psychologist | 2401 Wooten Blvd Sw Ste K, Wilson, NC 27893-4464 | 2012-10-25 |
| 1104044619 | Eddie Tessnear | Psychologist | 2403 Wooten Blvd Sw, Suite E, Wilson, NC 27893-4463 | 2007-04-22 |
| 1811013790 | Steven N Hannant | Psychologist | 2401 Wooten Blvd Sw, Suite K, Wilson, NC 27893-4464 | 2007-03-22 |
| 1235204223 | Cameron Kirkland Collins | Psychologist | 2261 Nash St Nw, Wilson, NC 27896 | 2006-11-22 |
| 1134215031 | Manijeh Boustani | Psychologist | 2401 Wooten Blvd Sw Ste K, Wilson, NC 27893-4464 | 2006-10-05 |
| 1396844239 | Robert D Gregory | Psychologist | 2401 Wooten Blvd Sw, Suite K, Wilson, NC 27893-4464 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
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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.