DR. MARK WAYNE SHATZ (NPI# 1912116179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912116179 |
| Entity Type | Individual |
| Full Name | DR. MARK WAYNE SHATZ |
| Credential | PH.D. |
| Practice Address |
33505 W 14 Mile Rd Suite 70 Farmington Hills MI 48331-1588 |
| Practice Telephone | 2486613300 |
| Practice Fax Number | 2486619209 |
| Mailing Telephone | 2486613300 |
| Mailing Fax Number | 2486619209 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6301005043 | MI | Behavioral Health & Social Service Providers |
| Street Address |
33505 W 14 MILE RD SUITE 70 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48331-1588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295711455 | Rhonda Beth Levy-larson | Clinical Neuropsychologist | 33505 W 14 Mile Rd, Suite 70, Farmington Hills, MI 48331-1588 | 2005-12-20 |
| 1730605890 | Angel Rivers | Nurse Practitioner | 33505 W 14 Mile Rd, Farmington Hills, MI 48331-1588 | 2017-08-20 |
| 1841630381 | Lauren M.f. Syrowik | Dentist | 33505 W 14 Mile Rd, Suite 70, Farmington Hills, MI 48331-1588 | 2013-06-28 |
| 1629256094 | Periodontic Pllc | Dentist | 33505 W 14 Mile Rd, Suite 70, Farmington Hills, MI 48331-1588 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352804 | Lori A Galicki | Occupational Therapist | 3405 W 12 Mile Rd. Suite 200, Farmington Hills, MI 48331 | 2018-10-17 |
| 1700372877 | Brooke Breann Reed | Speech-Language Pathologist | 34505 W 12 Mile Rd Ste 210, Farmington Hills, MI 48331 | 2018-07-02 |
| 1215473848 | Devon Caroline Welling | Advanced Practice Midwife | 31000 Country Bluff, Farmington Hills, MI 48331 | 2017-01-06 |
| 1780040246 | Pamela Moraa Obare | Nurse Practitioner | 36839 Greenspring St, Farmington Hills, MI 48331 | 2016-01-13 |
| 1427429844 | Counseling for The Brain, Body and Spirit, LLC | Community/Behavioral Health | 36510 Twelve Mile Rd, Farmington Hills, MI 48331 | 2015-10-12 |
| 1538548458 | Shavohn Rowser | Durable Medical Equipment & Medical Supplies | 38657 Lancaster Dr, Farmington Hills, MI 48331 | 2015-05-26 |
| 1851727697 | Sidney Lawrence Stone | Ophthalmology | 28853 Nottoway Drive, Farmington Hills, MI 48331 | 2013-09-25 |
| 1659621159 | Jacqueline Kiernan | Physical Therapist | 27240 Haggarty, Suite E15, Farmington Hills, MI 48331 | 2012-09-12 |
| 1770876476 | Elizabeth Anne Clancy | Counselor | 37875 12 Mile Rd, Farmington Hill, MI 48331 | 2011-05-27 |
| 1902197833 | Carla's Companionship & Care LLC | Home Health | 31145 Floralview Dr. S. #207, Farmington Hills, MI 48331 | 2011-04-26 |
| Find all providers in zip 48331 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831516152 | Ira Lourie, Psy.d., Pllc | Clinical Neuropsychologist | 30051 High Valley Rd, Farmington Hills, MI 48331-2144 | 2014-03-25 |
| 1629379094 | Michael Czarnota, Ph.d., P.l.l.c. | Clinical Neuropsychologist | 30055 Northwestern Hwy Ste 30, Farmington Hills, MI 48334-3230 | 2010-11-16 |
| 1932437464 | Rhonda B. Levy-larson, Ph.d., P.C. | Clinical Neuropsychologist | 33493 W. 14 Mile Rd., Suite 100, Farmington Hills, MI 48331-1587 | 2009-11-20 |
| 1952496333 | Patricia M Moylan | Clinical Neuropsychologist | 28595 Orchard Lake Rd., Ste. 125, Farmington Hills, MI 48167 | 2006-10-03 |
| 1295711455 | Rhonda Beth Levy-larson | Clinical Neuropsychologist | 33505 W 14 Mile Rd, Suite 70, Farmington Hills, MI 48331-1588 | 2005-12-20 |
| 1952549891 | John Bradley Carroll | Clinical Neuropsychologist | 31500 W 13 Mile Rd, #111, Farmington Hills, MI 48334-2164 | 2009-01-30 |
| 1841361219 | Donald Michael Hatcher | Clinical Neuropsychologist | 33045 Hamilton Court, Suite 260, Farmington Hills, MI 48334 | 2006-11-10 |
| 1295814200 | Patricia M. Moylan Phd Pllc | Clinical Neuropsychologist | 28595 Orchard Lake Rd, Ste. 125, Farmington Hills, MI 48334-2977 | 2006-11-02 |
| 1699884429 | Michael Czarnota | Clinical Neuropsychologist | 30055 Northwestern Hwy, Suite 30, Farmington Hills, MI 48334-3230 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046098 | Axon Psychology Group, PC | Clinical Neuropsychologist | 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 | 2020-08-31 |
| 1548814965 | Emily Nicole Robinett-ferrara | Clinical Neuropsychologist | 14050 Kingston St, Oak Park, MI 48237-1140 | 2019-07-25 |
| 1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
| 1992237176 | Lauren Marie Golla | Clinical Neuropsychologist | 111 E Court St Ste 1b, Flint, MI 48502-1649 | 2017-03-28 |
| 1750839783 | Ace Psychological Consultants LLC | Clinical Neuropsychologist | 1920 Livernois Rd Ste D, Troy, MI 48083-1770 | 2016-09-20 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
| 1326388554 | Timothy Grayson Royer | Clinical Neuropsychologist | 3790 30th St Sw, Grandville, MI 49418-1602 | 2013-02-25 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48331 |
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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.