CANDI LYN ROSENBERG (NPI# 1861031056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861031056 |
| Entity Type | Individual |
| Full Name | CANDI LYN ROSENBERG |
| Credential | MA, JD |
| Practice Address |
595 Forest Ave Ste 7and11a Plymouth MI 48170-1775 |
| Mailing Address |
1237 Pilgrim Ave Birmingham MI 48009-4804 |
| Practice Telephone | 7344465466 |
| Mailing Telephone | 2485066001 |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301018078 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6200 N Haggerty Rd, Canton, MI 481873605 | 7345268860 |
| Street Address |
595 FOREST AVE STE 7AND11A |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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 |
|---|---|---|---|---|
| 1255829081 | Joseph Matthew Mitchell | Psychologist | 44450 Pinetree Dr Ste 101, Plymouth, MI 48170-3869 | 2018-04-26 |
| 1164808390 | Wisconsin Lutheran Child &famliy Service, Inc | Psychologist | 3350 Harbor Ln N, Plymouth, MN 55447-5255 | 2015-08-11 |
| 1972982106 | Inspired By Me Psychological Wellness | Psychologist | 9341 N Haggerty Rd, Plymouth, MI 48170-4622 | 2015-05-20 |
| 1336564970 | Celena N Khatib | Psychologist | 340 N Main St Ste 210, Plymouth, MI 48170-1250 | 2014-02-19 |
| 1851673537 | Juvaria Javaid | Psychologist | 51248 Plymouth Ridge Dr, Plymouth, MI 48170-6366 | 2011-09-19 |
| 1770862781 | Ionela Herman | Psychologist | 41550 E Ann Arbor Trl, Plymouth, MI 48170-4308 | 2011-08-08 |
| 1548404270 | Jocelyn A Markowicz | Psychologist | 843 Penniman Ave, Plymouth, MI 48170-1757 | 2009-04-24 |
| 1063631695 | Gail Ann Thoen | Psychologist | 12525 42 Avenue North, Plymouth, MN 55441-1265 | 2007-04-24 |
| 1508984048 | Anne Marie Caldwell | Psychologist | 409 Plymouth Rd Ste 270, Plymouth, MI 48170-1842 | 2007-03-26 |
| 1083770101 | Teresa A Boatman | Psychologist | 11525 40th Ave N, Plymouth, MN 55441-1316 | 2007-01-01 |
| Find all providers in PLYMOUTH | ||||
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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.