NICHOLAS RUSSEAU (NPI# 1992096267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992096267 |
| Entity Type | Individual |
| Full Name | NICHOLAS RUSSEAU |
| Credential | MA |
| Practice Address |
34556 Bunker Hill Dr Farmington Hills MI 48331-3225 |
| Practice Telephone | 3135790856 |
| Mailing Telephone | 2485790856 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2015-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401012141 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2604097 | 05 |
| Street Address |
34556 BUNKER HILL DR |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48331-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093728578 | Sandra Carol Joseph | Psychologist | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2006-08-14 |
| 1225495146 | David Joseph | Social Worker | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2016-01-22 |
| 1568849537 | Cheryl Hollingsworth | Social Worker | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2015-04-29 |
| 1639565625 | Lashawn Westbrook | Social Worker | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2015-04-07 |
| 1710373717 | Emily Movsesian | Counselor | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2015-04-07 |
| 1275927980 | Therese Muir | Social Worker | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2015-03-20 |
| 1184017956 | Karlar Marie Jones | Counselor | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2015-03-18 |
| 1508291576 | Carly Violet Cenit | Social Worker | 34556 Bunker Hill Dr, Farmington Hills, MI 48331-3225 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352804 | Lori A Galicki | Occupational Therapist | 3405 W 12 Mile Rd. Suite 200, Farmington Hills, MI 48331 | 2018-10-17 |
| 1700372877 | Brooke Breann Reed | Speech-Language Pathologist | 34505 W 12 Mile Rd Ste 210, Farmington Hills, MI 48331 | 2018-07-02 |
| 1215473848 | Devon Caroline Welling | Advanced Practice Midwife | 31000 Country Bluff, Farmington Hills, MI 48331 | 2017-01-06 |
| 1780040246 | Pamela Moraa Obare | Nurse Practitioner | 36839 Greenspring St, Farmington Hills, MI 48331 | 2016-01-13 |
| 1427429844 | Counseling for The Brain, Body and Spirit, LLC | Community/Behavioral Health | 36510 Twelve Mile Rd, Farmington Hills, MI 48331 | 2015-10-12 |
| 1538548458 | Shavohn Rowser | Durable Medical Equipment & Medical Supplies | 38657 Lancaster Dr, Farmington Hills, MI 48331 | 2015-05-26 |
| 1851727697 | Sidney Lawrence Stone | Ophthalmology | 28853 Nottoway Drive, Farmington Hills, MI 48331 | 2013-09-25 |
| 1659621159 | Jacqueline Kiernan | Physical Therapist | 27240 Haggarty, Suite E15, Farmington Hills, MI 48331 | 2012-09-12 |
| 1770876476 | Elizabeth Anne Clancy | Counselor | 37875 12 Mile Rd, Farmington Hill, MI 48331 | 2011-05-27 |
| 1902197833 | Carla's Companionship & Care LLC | Home Health | 31145 Floralview Dr. S. #207, Farmington Hills, MI 48331 | 2011-04-26 |
| Find all providers in zip 48331 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008959 | Nicole Bell | Counselor | 30747 Mystic Forest Dr, Farmington Hills, MI 48331-1106 | 2020-03-18 |
| 1598220386 | Danielle S Gordon | Counselor | 29997 Valley Side Dr, Farmington Hills, MI 48334-2067 | 2019-02-05 |
| 1780157347 | William Thomas | Counselor | 30835 W 10 Mile Rd # 1013, Farmington Hills, MI 48336-2607 | 2019-01-07 |
| 1821565219 | Denise Renee Tyus | Counselor | 30280 Kingsway Dr, Farmington Hills, MI 48331-1648 | 2018-10-24 |
| 1841785615 | Caryn Alexis Mccarthy Epps | Counselor | 28282 Gettysburg St Ste 101, Farmington Hills, MI 48331-3129 | 2018-06-25 |
| 1669986964 | Wenday Mccalep-edwards | Counselor | 27501 Westcott Crescent Cir, Farmington Hills, MI 48334-5349 | 2017-11-22 |
| 1962933051 | Shante' Davis | Counselor | 30275 Summit Dr Apt 105, Farmington Hills, MI 48334-2451 | 2017-03-21 |
| 1144766353 | Amy Lynn Ducklow | Counselor | 26105 Orchard Lake Road, Suite 309, Farmington Hills, MI 48334 | 2017-01-11 |
| 1154772408 | Laura S Mindell Pllc | Counselor | 32000 Northwestern Hwy, Suite 128, Farmington Hills, MI 48334-1565 | 2016-06-28 |
| 1316302920 | Vicki Ann Palmer | Counselor | 23332 Orchard Lake Rd Ste C, Farmington Hills, MI 48336-3280 | 2015-12-24 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48331 |
Please comment or provide details below to improve the information on NICHOLAS RUSSEAU.
| 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.