ASCENSION EASTWOOD BEHAVIORAL HEALTH (NPI# 1851519359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851519359 |
| Entity Type | Organization |
| Organization Name | ASCENSION EASTWOOD BEHAVIORAL HEALTH |
| Other Organization Name | EASTWOOD CLINICS |
| Practice Address |
110 W. South Blvd Suite 200 Rochester Hills MI 48307-5150 |
| Mailing Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 2488446234 |
| Practice Fax Number | 2488446237 |
| Mailing Telephone | 5867530400 |
| Mailing Fax Number | 5867530404 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | STEVEN CANDELA (DIRECTOR) |
| Authorized Official Telephone | 5867530400 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTWOOD COMMUNITY CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Eastwood Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
| 1568768711 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 2800 Livernois Rd Ste 500, Troy, MI 48083-1219 | 2011-02-07 |
| 1144422494 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 44000 W 12 Mile Rd Ste 101, Novi, MI 48377 | 2007-05-31 |
| 1932329166 | Ascension Eastwood Behavioral Health | Counselor | 22151 Morros, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-30 |
| 1023238250 | Ascension Eastwood Behavioral Health | Psychologist | 22255 Greenfield Road, Suite 300, Southfield, MI 48075-3700 | 2007-04-30 |
| 1336367804 | Ascension Eastwood Behavioral Health | Counselor | 22151 Moross, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-23 |
| 1104044676 | Ascension Eastwood Behavioral Health | Counselor | 22708 Harper Avenue, St. Clair Shores, MI 48315-6033 | 2007-04-23 |
| 1740408244 | Ascension Eastwood Behavioral Health | Counselor | 30701 Woodward Avenue, Suite 200, Royal Oak, MI 48073-0987 | 2007-04-23 |
| 1922116938 | Ascension Eastwood Behavioral Health | Substance Abuse Rehabilitation Facility | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-08-29 |
| 1396787701 | Ascension Eastwood Behavioral Health | Counselor | 35455 Garfield Rd, Clinton Township, MI 48035-2236 | 2006-06-11 |
| Street Address |
110 W. SOUTH BLVD SUITE 200 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730309964 | Ascension Eastwood Behavioral Health | Counselor | 110 W. South Blvd, Suite 200, Rochester Hills, MI 48307 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| 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 |
|---|---|---|---|---|
| 1811467962 | Gleason Psychological Services Inc | Psychologist | 900 W University Dr Ste B1, Rochester Hills, MI 48307-1817 | 2018-12-03 |
| 1942571799 | Rachel L Rosencrants | Psychologist | 2820 Crooks Rd Ste 400, Rochester Hills, MI 48309-3673 | 2012-01-25 |
| 1770620981 | Katherine Jean Hitchcock | Psychologist | 200 Diversion Str., Suite 10a, Rochester Hills, MI 48307-2273 | 2007-01-30 |
| 1871668038 | Jessica Lee Jenkins | Psychologist | 200 Diverson St, Suite 10 A, Rochester Hills, MI 48307-2273 | 2006-11-22 |
| 1205920360 | Kara Marie Brooklier | Psychologist | 745 Barclay Cir, Suite 335, Rochester Hills, MI 48307-5810 | 2006-10-03 |
| 1326087255 | Deborah F Payton | Psychologist | 110 West South Boulevard, 200, Rochester Hills, MI 48307-5160 | 2006-06-06 |
| 1790326379 | Charlene Mcgunn Phd Pllc | Psychologist | 200 Diversion St Ste 150, Rochester Hills, MI 48307-2207 | 2019-10-04 |
| 1154980480 | Rohini Kamakoti | Psychologist | 2490 Walton Blvd Ste 201, Rochester Hills, MI 48309-1413 | 2019-06-11 |
| 1508424557 | Beth Wyrybkowski | Psychologist | 245 Barclay Cir Ste 400, Rochester Hills, MI 48307-5812 | 2019-06-04 |
| 1538670807 | Nicole Eve Blovet | Psychologist | 441 S Livernois Rd, Rochester Hills, MI 48307-2584 | 2017-10-13 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on ASCENSION EASTWOOD BEHAVIORAL HEALTH.
| 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.