INTERFACE I PC (NPI# 1801912753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801912753 |
| Entity Type | Organization |
| Organization Name | INTERFACE I PC |
| Practice Address |
4170 Pontiac Lake Rd Waterford MI 48328-1282 |
| Practice Telephone | 2486742659 |
| Practice Fax Number | 2486742659 |
| Mailing Telephone | 2486742659 |
| Mailing Fax Number | 2486742659 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | PATRICIA ARMSTRONG (OWNER) |
| Authorized Official Telephone | 2486742659 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301007437 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 680F330170 | 01 |
| Street Address |
4170 PONTIAC LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480822 | Patricia Armstrong | Psychologist | 4170 Pontiac Lake Rd, Waterford, MI 48328-1254 | 2006-01-02 |
| 1902922693 | Stannard and Studt Dentistry PC | Dentist | 4170 Pontiac Lake Rd, Waterford, MI 48328-1282 | 2007-03-22 |
| 1437275195 | Sean P Stannard | Dentist | 4170 Pontiac Lake Rd, Waterford, MI 48328-1282 | 2007-03-22 |
| 1659497329 | David R Studt | Dentist | 4170 Pontiac Lake Rd, Waterford, MI 48328-1282 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
| 1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
| 1790988715 | Child & Family Healing House | Psychologist | 14688 Nina Ct, Waterford, VA 20197-1635 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184251 | Think To Thrive Psychological Services Pllc | Psychologist | 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 | 2020-11-03 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
| 1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
| 1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
| 1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
| 1023413853 | Cristovao Bartolo Carreira | Psychologist | 15450 E. Jefferson, Suite 200, Grosse Pointe, MI 48230 | 2014-10-22 |
| 1518379502 | Steven Louis Rowe | Psychologist | 33464 Schoenherr Rd Ste 180, Sterling Heights, MI 48312-6392 | 2014-05-23 |
| 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.