BRADLEY N. AXELROD, PHD, PLLC (NPI# 1811207830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811207830 |
| Entity Type | Organization |
| Organization Name | BRADLEY N. AXELROD, PHD, PLLC |
| Practice Address |
2350 Washtenaw Ave Suite 7 Ann Arbor MI 48104-4532 |
| Practice Telephone | 7349130627 |
| Mailing Telephone | 7349130627 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Authorized Official Name | DR. BRADLEY N AXELROD (PSYCHOLOGIST) |
| Authorized Official Telephone | 7349130627 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6301007688 | MI | Behavioral Health & Social Service Providers |
| Street Address |
2350 WASHTENAW AVE SUITE 7 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942242177 | Thomas H Gibson Jr. | Chiropractor | 2350 Washtenaw Ave, Suite 12, Ann Arbor, MI 48104-4532 | 2006-06-12 |
| 1396286050 | Amanda Henderson | Massage Therapist | 2350 Washtenaw Ave, Suite 22, Ann Arbor, MI 48104-4532 | 2017-03-14 |
| 1861878316 | Gina M Verseman | Counselor | 2350 Washtenaw Ave, Ann Arbor, MI 48104-4532 | 2015-08-07 |
| 1235548132 | Rachel Levine Baruch | Psychologist | 2350 Washtenaw Ave, Ann Arbor, MI 48104-4532 | 2014-08-05 |
| 1760817399 | Shannon Thayer | Counselor | 2350 Washtenaw Ave, Suite 6, Ann Arbor, MI 48104-4532 | 2013-09-13 |
| 1689913071 | Wendy L Thompson Phd Pllc | Psychologist | 2350 Washtenaw Ave, Suite 6a, Ann Arbor, MI 48104-4532 | 2013-02-06 |
| 1477899755 | Sarah Lorene Mark | Mechanotherapist | 2350 Washtenaw Ave, Suite 14, Ann Arbor, MI 48104-4532 | 2012-12-14 |
| 1639422488 | Kathleen Nelson | Social Worker | 2350 Washtenaw Ave, Ste 6b, Ann Arbor, MI 48104-4532 | 2012-10-17 |
| 1811246580 | Judy Seldin | Psychologist | 2350 Washtenaw Ave, Ste 7e, Ann Arbor, MI 48104-4532 | 2012-09-10 |
| 1003165770 | Karen Gottschalk | Psychologist | 2350 Washtenaw Ave, Ste 7e, Ann Arbor, MI 48104 | 2012-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
| 1801164496 | Veronica Ichikawa Dillon | Clinical Neuropsychologist | 5600 Meadow Dr, Ann Arbor, MI 48105-9368 | 2011-12-09 |
| 1154592053 | John Robert Milanovich | Clinical Neuropsychologist | 2001 Commonwealth Blvd, Ann Arbor, MI 48105-2947 | 2008-03-19 |
| 1639393614 | Roger E. Lauer | Clinical Neuropsychologist | 5864 Interface Dr Ste D, Ann Arbor, MI 48103-9514 | 2007-04-12 |
| 1780797621 | Elise Kay Hodges | Clinical Neuropsychologist | 2101 Commonwealth, Ann Arbor, MI 48105-2969 | 2006-08-16 |
| 1083236095 | Amanda Maher | Clinical Neuropsychologist | 2101 Commonwealth Blvd, Ann Arbor, MI 48105-2969 | 2020-05-13 |
| 1811557960 | Rowena Ng | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2019-06-19 |
| 1053899344 | Annalise Marie Rahman-filipiak | Clinical Neuropsychologist | 2101 Commonwealth Blvd, Suite C, Ann Arbor, MI 48105-2969 | 2018-07-30 |
| 1619461787 | Cynthia Zurhellen Burton | Clinical Neuropsychologist | 2101 Commonwealth, Ann Arbor, MI 48105-2969 | 2018-06-21 |
| Find all providers in ANN ARBOR | ||||
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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.