ANDREA BEZAIRE (NPI# 1821429143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821429143 |
| Entity Type | Individual |
| Full Name | ANDREA BEZAIRE |
| Credential | MS, LLP |
| Practice Address |
9315 Telegraph Rd Redford MI 48239-1260 |
| Mailing Address |
2035 Hogback Rd Suite #108 Ann Arbor MI 48105-9732 |
| Practice Telephone | 7344500400 |
| Practice Fax Number | 7344500404 |
| Mailing Telephone | 5867032137 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301015800 | MI | Behavioral Health & Social Service Providers |
| Street Address |
9315 TELEGRAPH RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669451944 | Lincoln Behavioral Services | General Practice | 9315 Telegraph Rd, Redford, MI 48239 | 2006-01-13 |
| 1356941454 | Angelica Debono | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-10-28 |
| 1477182574 | Christie Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-04-02 |
| 1043846116 | Breanne Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-03-20 |
| 1407488729 | Zeinab M Dabajeh | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-02-05 |
| 1356987762 | Lincoln Behavioral Services | Family Medicine | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-20 |
| 1952945826 | Daniel Evan Diskin | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-04 |
| 1124669775 | Sara Kifah Jayyousi | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-04 |
| 1275174062 | Kelsey Vest | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-02 |
| 1508415753 | Jennifer Pettway | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| 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 |
|---|---|---|---|---|
| 1588715833 | Joseph James Zambo | Psychologist | 10024 Nathaline, Redford, MI 48239-2287 | 2007-01-15 |
| 1154743938 | Irvin Weatherspoon | Psychologist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2014-01-13 |
| 1033433602 | Derek Thomas Rosen | Psychologist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2010-03-25 |
| 1962412015 | Theresa Lynn Korroch | Psychologist | 9315 Telegraph, Redford, MI 48239 | 2006-08-09 |
| 1477563435 | Michelle Marie Jeffers | Psychologist | 9315 Telegraph, Redford, MI 48239 | 2006-08-09 |
| 1942210919 | William R Hart | Psychologist | 9315 Telegraph, Redford, MI 48239 | 2006-08-09 |
| 1659381622 | Carolyn Koblin | Psychologist | 9315 Telegraph, Redford, MI 48239 | 2006-08-09 |
| 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 |
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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.