AMY J. TRABITZ, PH.D., P.C. (NPI# 1821327222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821327222 |
| Entity Type | Organization |
| Organization Name | AMY J. TRABITZ, PH.D., P.C. |
| Other Organization Name | AMY J. CHARNESS |
| Practice Address |
23810 Michigan Ave Suite 202b Dearborn MI 48124-1830 |
| Practice Telephone | 3133593161 |
| Practice Fax Number | 3133594811 |
| Mailing Telephone | 3133593161 |
| Mailing Fax Number | 3133594811 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | DR. AMY J. TRABITZ (PRESIDENT) |
| Authorized Official Telephone | 3133593161 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
6301006103 | MI | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
6301006103 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Amy J. Charness | Other Name - Individual/Organization |
| Street Address |
23810 MICHIGAN AVE SUITE 202B |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295898112 | Amy J Charness | Psychologist | 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 | 2006-12-19 |
| 1093353542 | Majida Elkadri | Social Worker | 23810 Michigan Ave, Dearborn, MI 48124-1830 | 2019-12-16 |
| 1568860898 | The Symmetry Group, LLC | Social Worker | 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 | 2014-12-19 |
| 1598160582 | Alana Marie Cole | Psychologist | 23810 Michigan Ave, Suite 202, Dearborn, MI 48124-1830 | 2014-11-03 |
| 1851706584 | Nicole Stratton | Psychologist | 23810 Michigan Ave, Suite 202b, Dearborn, MI 48124-1830 | 2014-06-20 |
| 1700209855 | Ayanna E Harris | Counselor | 23810 Michigan Ave, Suite 202a, Dearborn, MI 48124-1830 | 2014-01-26 |
| 1215368493 | Kyana Magee-houston | Counselor | 23810 Michigan Ave, Dearborn, MI 48124-1830 | 2013-12-12 |
| 1548690704 | Dianne M Goetsch | Psychologist | 23810 Michigan Ave, Suite 202, Dearborn, MI 48124-1830 | 2013-11-25 |
| 1417108929 | Irene Garza | Social Worker | 23810 Michigan Ave, Dearborn, MI 48124-1830 | 2008-10-02 |
| 1508026006 | Pamela Czuj | Social Worker | 23810 Michigan Ave, Dearborn, MI 48124-1830 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669834040 | American Phsychiatric & Neuroscience Institute PC | Clinic/Center | 30 Bradford Ct, Dearborn, MI 48126-4169 | 2016-03-24 |
| 1730586710 | Centria Healthcare LLC | Clinic/Center | 19855 Outer Dr, Suite 101, Dearborn, MI 48124-2022 | 2014-11-19 |
| 1891075958 | Henry Ford Health System | Clinic/Center | 5111 Auto Club Dr, Suite 112 Bldig 5, Dearborn, MI 48126-2749 | 2011-08-22 |
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| 1720614530 | Oakland Integrated Healthcare Network | Clinic/Center | 125 W Montcalm St Rm 101, Pontiac, MI 48342-1141 | 2020-03-13 |
| 1588203491 | Heron Ridge Associates Plc | Clinic/Center | 3300 Washtenaw Ave Ste 265, Ann Arbor, MI 48104-4200 | 2019-12-26 |
| 1972141406 | Reliance Counseling, LLC. | Clinic/Center | 11126 Wayne Rd # 2, Romulus, MI 48174-1473 | 2019-12-16 |
| 1629639190 | Pathway Psychological Services Pllc | Clinic/Center | 22750 Woodward Ave Ste 211, Ferndale, MI 48220-1753 | 2019-06-25 |
| 1790344281 | Yearego Professional Counseling | Clinic/Center | 81 Indianwood Rd Ste 2, Lake Orion, MI 48362-1595 | 2019-06-10 |
| 1992268627 | Kalamazoo Empowerment Services, Plc | Clinic/Center | 350 E Michigan Ave Ste 421, Kalamazoo, MI 49007-3855 | 2019-04-10 |
| 1922571041 | Repairer of The Breach Counseling and Consultant Services, LLC | Clinic/Center | 319 Chandler St, Detroit, MI 48202-2857 | 2019-01-11 |
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1972073633 | Hidden Brook Counseling Services, Pllc | Clinic/Center | 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770-8897 | 2018-11-26 |
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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.