ERICA MEDINA (NPI# 1912513839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912513839 |
Entity Type | Individual |
Full Name | ERICA MEDINA |
Practice Address |
1700 Waterman St Detroit MI 48209-2022 |
Practice Telephone | 3138418900 |
Mailing Telephone | 3138418900 |
Enumeration Date | 2020-09-16 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
64010108655 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760044671 | Erica Medina | Behavioral Analyst | 3400 State St Ste G750, Salem, OR 97301-7012 | 2019-07-01 |
1659842250 | Erica Riane Medina | Behavior Technician | 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-12-08 |
1275000887 | Erica Diane Medina | Dental Hygienist | 1090 Goat Springs Road, Taos, NM 87571 | 2018-11-01 |
1346526472 | Erica Medina | Marriage & Family Therapist | 2130 Professional Dr Ste 240, Roseville, CA 95661 | 2011-11-03 |
Street Address |
1700 WATERMAN ST |
City | DETROIT |
State | MI |
Zip Code | 48209-2022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437169786 | Jaswant Purohit | Psychiatry & Neurology | 1700 Waterman St, Detroit, MI 48209-2022 | 2006-08-09 |
1952934366 | Laura Owens | Registered Nurse | 1700 Waterman St, Detroit, MI 48209-2022 | 2020-02-14 |
1013556026 | Jamice Sade' Harris | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-12-23 |
1033755269 | Rodney Harold Averett | Counselor | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-11-22 |
1124685433 | Kristina Nicole Henning | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-05-22 |
1861952517 | Edward Grumeretz | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-03-20 |
1679047427 | Candice Taylor | Technician, Other | 1700 Waterman St, Detroit, MI 48209-2022 | 2019-01-15 |
1154826311 | Stephanye Lavenant | Case Manager/Care Coordinator | 1700 Waterman St, Detroit, MI 48209-2022 | 2018-03-28 |
1356846612 | Mary Regina Martinez | Case Manager/Care Coordinator | 1700 Waterman St, Detroit, MI 48209-2022 | 2018-03-28 |
1639670185 | Kathleen Maria Gorski | Social Worker | 1700 Waterman St, Detroit, MI 48209-2022 | 2018-02-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
Find all providers in zip 48209 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
1386255032 | Restore Me, LLC | Counselor | 17836 Chandler Park Dr, Detroit, MI 48224-1340 | 2020-08-14 |
1396374617 | Venus D Amos | Counselor | 22725 Cambridge Ave, Detroit, MI 48219-1725 | 2020-04-07 |
1487280848 | A Safe Place Counseling and Community Support Services L3c | Counselor | 20216 Albany St, Detroit, MI 48234-2505 | 2020-03-18 |
1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
1790320331 | Faith Hope & Love Outreach Center Inc | Counselor | 18284 James Couzens Fwy., Detroit, MI 48235-2503 | 2019-11-07 |
1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
1497210744 | Phoenix Interventions Pllc | Counselor | 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 | 2019-01-31 |
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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.