CANDICE CAVETT (NPI# 1912521360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912521360 |
| Entity Type | Individual |
| Full Name | CANDICE CAVETT |
| Other Name | CANDICE PETROVICH |
| Credential | MA LLP |
| Practice Address |
1555 Industrial Dr Owosso MI 48867-9775 |
| Practice Telephone | 9897236791 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6361000496 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1555 INDUSTRIAL DR |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867-9775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941287 | Steven G Farness | Social Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2005-09-07 |
| 1689290033 | Maria Vargas | Registered Nurse | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2020-06-22 |
| 1497370134 | Brandi Thiel | Case Manager/Care Coordinator | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2020-06-09 |
| 1215560859 | Tina Degarmo | Community Health Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2020-02-21 |
| 1053951525 | Jenna Sowers | Community Health Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2020-01-13 |
| 1417595620 | Emily Dilts | Community Health Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2019-12-18 |
| 1265079370 | Tissa Mccreery | Community Health Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2019-12-09 |
| 1073157541 | Jonathan Egedus | Social Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2019-10-29 |
| 1952944167 | Alexa Johnson | Community Health Worker | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2019-10-21 |
| 1699316976 | Kendra Docker | Counselor | 1555 Industrial Dr, Owosso, MI 48867-9775 | 2019-10-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
| 1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
| 1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
| 1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
| 1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
| 1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
| 1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
| 1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
| 1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
| 1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
| Find all providers in zip 48867 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
| 1790305068 | Kole Mason | Psychologist | 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 | 2020-04-16 |
| 1881229151 | Shannon Sugarman Psychotherapy | Psychologist | 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 | 2020-03-07 |
| 1376178020 | Pro-active Counseling LLC | Psychologist | 1410 84th St Sw, Byron Center, MI 49315-9344 | 2020-03-03 |
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
| 1134761398 | Mackenzie Mercer | Psychologist | 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 | 2019-10-09 |
| 1568022465 | Grace Yensch | Psychologist | 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 | 2019-06-13 |
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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.