MR. MARK LEE BLOUGH


Address: 700 Stewart Rd, Ste 105, Monroe, MI 48162-5304
Phone: 7342401765

MR. MARK LEE BLOUGH (NPI# 1942589627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942589627
Entity Type Individual
Full Name MR. MARK LEE BLOUGH
Credential PSYD
Practice Address 700 Stewart Rd
Ste 105
Monroe
MI 48162-5304
Mailing Address 718 N Macomb St
Monroe
MI 48162-7815
Practice Telephone 7342401765
Practice Fax Number 7342401787
Mailing Telephone 7342408400
Mailing Fax Number 7342404450
Enumeration Date 2011-08-11
Last Update Date 2011-08-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301014288 MI Behavioral Health & Social Service Providers

Office Location

Street Address 700 STEWART RD
STE 105
City MONROE
State MI
Zip Code 48162-5304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801996210 Promedica Monroe Skilled Nursing and Rehab Skilled Nursing Facility 700 Stewart Rd, Monroe, MI 48162-5304 2006-09-25
1760014484 Rachel Berky Johnson Speech-Language Pathologist 700 Stewart Rd, Monroe, MI 48162-5304 2020-02-11
1760037808 Pamudu Dissanayake Occupational Therapist 700 Stewart Rd, Monroe, MI 48162-5304 2019-08-06
1003471335 Katelyn E Grau Physical Therapist 700 Stewart Rd, Monroe, MI 48162-5304 2019-05-02
1861963316 Paige Wittler Speech-Language Pathologist 700 Stewart Rd, Monroe, MI 48162-5304 2018-12-10
1356848972 Dawn Marie Foshag Occupational Therapist 700 Stewart Rd, Monroe, MI 48162-5304 2018-04-10
1013413939 Brian Carmona Occupational Therapist 700 Stewart Rd, Monroe, MI 48162-5304 2018-03-30
1760984876 Christina Danford Parker Speech-Language Pathologist 700 Stewart Rd, Monroe, MI 48162-5304 2018-03-05
1417460361 Elishia Kay Sutter Physical Therapist 700 Stewart Rd, Monroe, MI 48162-5304 2017-11-14
1326581760 Marianne Strzelecki Occupational Therapist 700 Stewart Rd, Monroe, MI 48162-5304 2016-12-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568016012 Silke A Goudos Nurse Practitioner 730 N Macomb Street #200, Monroe, MI 48162 2019-08-01
1134781412 Joshua Dwaine Lentz Family Medicine Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 2019-07-08
1740769702 Carissa Pollock Behavioral Analyst 2086 S. Custer Rd., Monroe, MI 48162 2018-08-10
1710488440 Stacy Michael Lucio Nurse Practitioner 901 N Macomb St Ste 109, Monroe, MI 48162 2018-02-27
1407239882 Lisa Gilbert Peleman Student in an Organized Health Care Education/Training Program Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 2015-07-03
1427430552 Cheryl Fosgate Counselor 4350 N Monroe St, Monroe, MI 48162 2015-06-25
1538551460 Convenient Mr PC Dentist 7500 N. Telegraph Rd., Monroe, MI 48162 2015-03-02
1659614022 Mercy Memorial Hospital Corporation Family Medicine 650 Steward Road, Monroe, MI 48162 2013-04-03
1073872743 Justin L Chamberlain Surgery 730 N Macomb St Ste 329, Monroe, MI 48162 2012-05-15
1639462674 Toledo Clinic Incorporated Durable Medical Equipment & Medical Supplies 800 Stewart Road, Suite B, Monroe, MI 48162 2011-05-24
Find all providers in zip 48162

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629553235 Alyssa Sacka Psychologist 25 S Monroe St Ste 303, Monroe, MI 48161-2209 2018-09-28
1548563182 Gary Kinstlinger Psychologist 1 Dinev Court, Monroe, NY 10950 2010-12-20
1013219120 Jack Grobstein Psychologist 22 Merriewold Ln N, Monroe, NY 10950-1916 2010-11-22
1043547235 James Perrone Psychologist 23 Wheeler Rd, Monroe, CT 06468-2420 2009-11-09
1710014873 Earl H. Baker Psychologist 1502 Stubbs Ave, Monroe, LA 71201-5628 2007-02-27
1922180561 Jacob Kirschenbaum Psychologist 315a Forsgate Dr, Monroe, NJ 08831-1539 2006-10-20
1669577201 William J Medick Psychologist 730 N Macomb St Ste 225, Monroe, MI 48162-2969 2006-09-14
1174549190 Jennifer Lynn Westfal Psychologist 1001 S Raisinville Rd, Monroe, MI 48161-9754 2006-07-14
1881629996 George Philip Popper Psychologist 105 E Franklin St, Monroe, NC 28112-4850 2006-07-11
1598711699 Jennifer L. Cilino-folks Psychologist 515 22nd Avenue, Monroe Clinic, Monroe, WI 53566-1569 2006-05-26
Find all providers in MONROE

Competitor

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City MONROE
Zip Code 48162

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Dataset Information

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.

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