BERNADETTE SKODACK (NPI# 1811364722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811364722 |
| Entity Type | Individual |
| Full Name | BERNADETTE SKODACK |
| Credential | MT-BC |
| Practice Address |
3200 E Eisenhower Pkwy Ann Arbor MI 48108-3231 |
| Practice Telephone | 7346770070 |
| Practice Fax Number | 7346770890 |
| Mailing Telephone | 7346770070 |
| Mailing Fax Number | 7346770890 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3200 E EISENHOWER PKWY |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003028226 | Judy Lynn Muncey | Social Worker | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2007-05-03 |
| 1053929760 | Rachel Wehrly Robertson | Occupational Therapist | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2020-07-20 |
| 1336659564 | Joan Michele Lucas | Occupational Therapist | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2017-10-02 |
| 1417494485 | Eisenhower Jacksonville Group LLC | Physical Medicine & Rehabilitation | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2017-01-27 |
| 1760924369 | Kelsey Flynn | Occupational Therapist | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2016-11-14 |
| 1972052736 | William Gulliver | Speech-Language Pathologist | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2016-09-22 |
| 1558714907 | Sarah Surerus | Speech-Language Pathologist | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2016-07-21 |
| 1649677642 | Syed Ahmed | Occupational Therapist | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2014-11-20 |
| 1801202049 | Katharina Bragalone | Occupational Therapist | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2014-07-09 |
| 1053730234 | Deborah Adams | Social Worker | 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 | 2014-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320300 | Bradley Robert Hatfield | Music Therapist | 2319 Walter Dr, Ann Arbor, MI 48103-3452 | 2017-11-22 |
| 1871891846 | Mike D Brownell | Music Therapist | 1900 W Stadium Blvd, Suite E, Ann Arbor, MI 48103-7008 | 2011-03-01 |
| 1285889543 | Kathleen Ann Moore | Music Therapist | 408 W Summit St, Ann Arbor, MI 48103-3254 | 2008-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477506 | Maurizio Emanuele | Music Therapist | 836 N Union City Rd, Coldwater, MI 49036-9228 | 2020-08-12 |
| 1912529884 | Hannah Kristyne Avery | Music Therapist | 1648 Midland Dr, Hickory Corners, MI 49060-9342 | 2020-05-13 |
| 1457980575 | Renee Victoria Wolosion | Music Therapist | 480 E Woodland St, Ferndale, MI 48220-1339 | 2020-04-02 |
| 1508406208 | Kimberly N Debusschere | Music Therapist | 4334 Dottie Ct., Belleville, MI 48111 | 2020-01-10 |
| 1194362459 | Karina Gluys | Music Therapist | 251 N Rose St Ste 200, Kalamazoo, MI 49007-3860 | 2019-12-05 |
| 1821550054 | Corinn Cramer | Music Therapist | 3500 W 11 Mile Rd Ste C, Berkley, MI 48072-1225 | 2019-04-05 |
| 1568951630 | Jonathan James Carmona | Music Therapist | 9820 Green Gables, Willis, MI 48191-9691 | 2018-05-04 |
| 1639666084 | Kristen Nichole Kimball | Music Therapist | 3054 Yorkshire Dr, Bay City, MI 48706-9244 | 2018-04-20 |
| 1255830154 | Anarosa Delarosa | Music Therapist | 3408 Woodward Ave, Detroit, MI 48201-2726 | 2018-02-06 |
| 1558802124 | John Michael Hoffman | Music Therapist | 805 Beard St, Apt. 2, Port Huron, MI 48060-6586 | 2017-03-16 |
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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.