SUSAN GOTTLIEB PHD LLC (NPI# 1891308904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891308904 |
| Entity Type | Organization |
| Organization Name | SUSAN GOTTLIEB PHD LLC |
| Practice Address |
23800 Orchard Lake Rd Ste 104 Farmington Hills MI 48336-2561 |
| Mailing Address |
Po Box 250621 Franklin MI 48025-0621 |
| Practice Telephone | 2484083074 |
| Mailing Telephone | 2484083074 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | SUSAN GOTTLIEB (PRES) |
| Authorized Official Telephone | 2484083074 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
23800 ORCHARD LAKE RD STE 104 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| 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 |
|---|---|---|---|---|
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1457810871 | Amanda Bode Davidson | Psychologist | 36520 Grand River Ave Ste 104, Farmington Hills, MI 48335-3014 | 2019-03-15 |
| 1063949667 | Kathryn Mary Darling | Psychologist | 26105 Orchard Lake Rd Ste 204, Farmington Hills, MI 48334-4578 | 2017-05-15 |
| 1306229315 | Emily Elizabeth Tarjeft | Psychologist | 30301 Northwestern Hwy Ste 100, Farmington Hills, MI 48334-3277 | 2015-07-08 |
| 1528304557 | Sheena Sharma | Psychologist | 31700 W 12 Mile Rd Ste 250, Farmington Hills, MI 48334-4462 | 2012-12-19 |
| 1447502117 | Michael Stein | Psychologist | 29679 Mayfair Dr, Farmington Hills, MI 48331-2151 | 2012-10-05 |
| 1346426624 | Jeffrey Joel Stern | Psychologist | 29290 Wyndham Ct, Farmington Hills, MI 48334-1859 | 2008-01-16 |
| 1407050032 | Lori Lynn Radner | Psychologist | 37899 W 12 Mile Rd Ste 250, Farmington Hills, MI 48331-6107 | 2007-06-14 |
| 1043431141 | Linda L.s. Knowles | Psychologist | 32000 Northwestern Hwy Ste 165, Farmington Hills, MI 48334-1568 | 2007-05-02 |
| 1629298286 | Leonard Mcculloch | Psychologist | 24477 Buchanan Ct Apt 1887, Farmington Hills, MI 48335-2161 | 2007-04-26 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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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.