REX R SKUPIEN (NPI# 1912359043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912359043 |
| Entity Type | Individual |
| Full Name | REX R SKUPIEN |
| Credential | TLLP |
| Practice Address |
1035 E Wilcox Ave White Cloud MI 49349-8794 |
| Mailing Address |
1615 Michigan Ave Baldwin MI 49304-7984 |
| Practice Telephone | 2316895943 |
| Practice Fax Number | 2316891590 |
| Mailing Telephone | 2317455045 |
| Mailing Fax Number | 2317455031 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301016756 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1035 E WILCOX AVE |
| City | WHITE CLOUD |
| State | MI |
| Zip Code | 49349-8794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891696 | Baldwin Family Health Care | Pharmacy | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2006-02-20 |
| 1750904116 | Riley G Wever | Social Worker | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2020-05-20 |
| 1346704400 | Victoria Christine Linson | Student in an Organized Health Care Education/Training Program | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2019-01-23 |
| 1962910398 | Betsey Jo Baumann-smeenge | Dentist | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2018-01-19 |
| 1457881948 | Sarah Weers | Family Medicine | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2017-06-15 |
| 1346778776 | Zane Robert Setaputri | Dentist | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2017-05-30 |
| 1588104368 | William Zufall II | Pharmacist | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2017-02-28 |
| 1164967899 | Katherine Elaine Wyman | Pharmacist | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2017-01-04 |
| 1891168456 | Doni Simon | Nurse Practitioner | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2015-11-04 |
| 1477925931 | Amanda Mishler | Dental Hygienist | 1035 E Wilcox Ave, White Cloud, MI 49349-8794 | 2015-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032361 | Melissa Esterling | Counselor | 1197 E James St, White Cloud, MI 49349 | 2017-09-20 |
| 1427486893 | Suzanne Singelyn | Counselor | 1049 E. Newell St., White Cloud, MI 49349 | 2013-10-23 |
| 1902173784 | Jennifer Leigh James-witteveen | Social Worker | 1049 Newell, White Cloud, MI 49349 | 2011-11-22 |
| 1801001094 | Stephanie Louise Schoenlein | Dental Hygienist | 1033 E. Wilcox Ave, White Cloud, MI 49349 | 2007-05-11 |
| 1265647549 | Angela Louise King | Dental Hygienist | 1033 East Wilcox Ave., White Cloud, MI 49349 | 2007-05-11 |
| 1619189206 | Rural Home Care Services, Inc. | Home Health | 230 N. Charles, White Cloud, MI 49349 | 2007-05-04 |
| 1497780704 | Frederick J Schmidt | Dentist | 126 Benson, White Cloud, MI 49349 | 2006-07-12 |
| 1306347356 | Keith David Bogucki | Social Worker | 1049 Newell, P.o. Box 867, White Cloud, MI 49349 | 2018-02-26 |
| 1790067338 | Baldwin Family Health Care | Clinic/Center | 555 E Wilcox Ave, White Cloud, MI 49349 | 2011-09-09 |
| 1598902314 | Aaron Charles Greene | Physician Assistant | 1049 E Newell St, White Cloud, MI 49349 | 2009-01-15 |
| Find all providers in zip 49349 | ||||
| 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 |
|---|---|---|---|---|
| 1053749259 | Lori Goldin | Psychologist | 1049 E Newell St, White Cloud, MI 49349-8795 | 2013-10-24 |
| 1225149016 | Bonnie Langer | Psychologist | 1049 E Newell St, Box 867, White Cloud, MI 49349-8795 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITE CLOUD |
| Zip Code | 49349 |
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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.