THERAPEUTIC LIFESTYLE CHANGES, INC (NPI# 1902100167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902100167 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC LIFESTYLE CHANGES, INC |
| Other Organization Name | HEALTHY U |
| Practice Address |
22750 Woodward Ave Suite 209 Ferndale MI 48220-1777 |
| Mailing Address |
15960 Marguerite St Beverly Hills MI 48025-5630 |
| Practice Telephone | 2485087827 |
| Practice Fax Number | 2486446121 |
| Mailing Telephone | 2485087827 |
| Mailing Fax Number | 2486446121 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | DR. DIANE DEUTSCH-KEAHEY (PRESIDENT) |
| Authorized Official Telephone | 2485087827 |
| Authorized Official Credential | PH.D, R.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | INDIVIDUAL NPI NUMBER | 1215188560 | 01 |
| Other Name | Type Code |
|---|---|
| Healthy U | Doing Business As Name - Organization |
| Street Address |
22750 WOODWARD AVE SUITE 209 |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235183310 | Randle Neal Samuels | Dentist | 22750 Woodward Ave, Suite #205, Ferndale, MI 48220-1777 | 2006-05-21 |
| 1467902262 | Mr Eyeglassman Optical Services | Eyewear Supplier (Equipment, not the service) | 22750 Woodward Ave, Suite 207, Ferndale, MI 48220-1777 | 2016-10-05 |
| 1285189985 | Frank Curry | Technician/Technologist | 22750 Woodward Ave, Suite 207, Ferndale, MI 48220-1777 | 2016-08-23 |
| 1013313204 | Cadora Bush | Registered Nurse | 22750 Woodward Ave, Ste. #309, Ferndale, MI 48220-1777 | 2014-11-14 |
| 1881860658 | Lisa A Spurlock | Psychiatry & Neurology | 22750 Woodward Ave, Suite 211, Ferndale, MI 48220-1777 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033380696 | Colleen Marie Hough | Dietitian, Registered | 922 Weymouth Bluff Rd, Ferndale, CA 95536-9573 | 2008-03-21 |
| 1538606173 | Theresa Welt | Dietitian, Registered | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-01-20 |
| 1790006682 | Shannon Kirsten Webster | Dietitian, Registered | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850011 | Timothy Matthews | Dietitian, Registered | 5057 Jeddo Rd, Grant Township, MI 48032-1402 | 2020-10-31 |
| 1548860075 | Mona Alaudhi | Dietitian, Registered | 3280 Washtenaw Ave Ste B, Ann Arbor, MI 48104-4283 | 2020-10-26 |
| 1497354823 | Carrie Elizabeth Couretas | Dietitian, Registered | 469 W Baker Ave, Clawson, MI 48017-1535 | 2020-10-17 |
| 1881292506 | Meghan Kathleen Pendleton | Dietitian, Registered | 26025 Pillsbury St, Farmington Hills, MI 48334-4345 | 2020-10-14 |
| 1861090771 | Stephanie Spence | Dietitian, Registered | 5629 Summer Ridge Ct Apt F, Kalamazoo, MI 49009-1058 | 2020-10-13 |
| 1902404908 | Christine L Lauer | Dietitian, Registered | 24 Coral Dr Ne, Rockford, MI 49341-8514 | 2020-10-12 |
| 1598372831 | Ann Christine Whetstone | Dietitian, Registered | 1731 Barrington Pl, Ann Arbor, MI 48103-5606 | 2020-09-30 |
| 1942817580 | Nourished Living LLC | Dietitian, Registered | 22811 Greater Mack Ave Ste 210, Saint Clair Shores, MI 48080-2054 | 2020-09-28 |
| 1396352225 | Elizabeth Ferrall Consulting LLC | Dietitian, Registered | 10200 17 Mile Rd, Marshall, MI 49068-9797 | 2020-09-24 |
| 1720694086 | Kelly Wilson | Dietitian, Registered | 6865 Hitchingham Rd, Ypsilanti, MI 48197-8998 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.