JADE OLIVE CRIVEA (NPI# 1912481078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912481078 |
Entity Type | Individual |
Full Name | JADE OLIVE CRIVEA |
Practice Address |
5703 Bay Rd Saginaw MI 48604-2507 |
Practice Telephone | 2316684909 |
Enumeration Date | 2018-09-24 |
Last Update Date | 2018-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 46-2053890 | 05 |
Street Address |
5703 BAY RD |
City | SAGINAW |
State | MI |
Zip Code | 48604-2507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972962439 | Ryen Bostick | Physical Therapist | 5703 Bay Rd, Saginaw, MI 48604-2507 | 2016-02-12 |
1558900266 | Sydney Lea Whitten | Behavior Technician | 5703 Bay Rd, Saginaw, MI 48604-2507 | 2019-12-27 |
1861033920 | Danyelle C Lebeau | Behavior Technician | 5703 Bay Rd, Saginaw, MI 48604-2507 | 2019-09-30 |
1851859789 | Makenzie Rae Paionk | Behavior Technician | 5703 Bay Rd, Saginaw, MI 48604-2507 | 2019-03-11 |
1508341603 | David Spencer Nay | Behavior Technician | 5703 Bay Rd, Saginaw, MI 48604-2507 | 2018-09-25 |
1184107674 | Victoria Leone Fox | Behavior Technician | 5703 Bay Rd, Saginaw, MI 48604 | 2018-09-11 |
1811482268 | Antony Joseph Rudel | Behavior Technician | 5703 Bay Rd, Saginaw, MI 48604-2507 | 2018-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
Find all providers in zip 48604 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841250487 | Sandra F. Pfander | Psychologist | 4901 Towne Ctr, Suite 115, Saginaw, MI 48604-2841 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820598 | Alexander William Krieg | Psychologist | 31235 Ramble Rd, Franklin, MI 48025-1367 | 2020-10-26 |
1699389395 | Linda D Seltzer-sucher Phd LLC | Psychologist | 275 Bryn Mawr St, Birmingham, MI 48009-1501 | 2020-09-01 |
1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
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.