Amallie M Defonseka (NPI# 1306983119, PAC ID# 9335392851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1306983119 |
| PAC ID by PECOS | 9335392851 |
| Professional Enrollment ID | I20130114000119 |
| Full Name | Amallie M Defonseka |
| Organization Legal Name | OAKLAND PSYCHOLOGICAL CLINIC PC |
| Address |
2550 S Telegraph Rd Suite 250 Bloomfield MI 48302-0909 |
| Phone Number | 2483220001 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2163315086 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2550 S Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 | 2483220001 | OAKLAND PSYCHOLOGICAL CLINIC PC |
| Organization Legal Name | OAKLAND PSYCHOLOGICAL CLINIC PC |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles D Small | Clinical Social Worker | Oakland Psychological Clinic PC | 33300 5 Mile Rd, Suite 208, Livonia, MI 48154-3077 |
| Carol E Vankampen | Clinical Social Worker | Oakland Psychological Clinic PC | 2550 Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 |
| Laurie K Maxwell | Clinical Social Worker | Oakland Psychological Clinic PC | 2222 S Linden Rd J, Flint, MI 48532-5413 |
| Talia K Al Hamando | Clinical Social Worker | Oakland Psychological Clinic PC | 16664 15 Mile Rd, Fraser, MI 48026-3713 |
| William L Guy | Psychiatry | Oakland Psychological Clinic PC | 1800 N Milford Rd, Suite 100, Milford, MI 48381-1047 |
| Damon F Tempey | Psychologist, Clinical | Oakland Psychological Clinic PC | 10785 S Saginaw St A Bldg E, Grand Blanc, MI 48439-7003 |
| Yogesh J Shukla | Psychiatry | Oakland Psychological Clinic PC | 16664 15 Mile Rd, Fraser, MI 48026-3713 |
| Olimpia Neagoe | Clinical Social Worker | Oakland Psychological Clinic PC | 16664 15 Mile Rd, Fraser, MI 48026-3713 |
| Shatina Marks | Clinical Social Worker | Oakland Psychological Clinic PC | 10785 S Saginaw St A Bldg E, Grand Blanc, MI 48439-7003 |
| Gerald G Pope | Psychiatry | Oakland Psychological Clinic PC | 2222 S Linden Rd J, Flint, MI 48532-5413 |
| Street Address |
2550 S TELEGRAPH RD SUITE 250 |
| City | BLOOMFIELD |
| State | MI |
| Zip | 48302-0909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Jo Ference | Optometry | Vision Specialists of Birmingham, Pllc | 2550 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0951 |
| Debra L Feinberg | Optometry | Vision Specialists of Birmingham, Pllc | 2550 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0951 |
| Dion P Edwards | Psychologist, Clinical | Oakland Psychological Clinic PC | 2550 S Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 |
| Julie Kwon | Psychologist, Clinical | 2550 S Telegraph Rd, Suite 240, Bloomfield Hills, MI 48302-0908 | |
| Bettie Stokes Johnson | Clinical Social Worker | Oakland Psychological Clinic PC | 2550 S Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 |
| Diana J Diesch | Clinical Social Worker | Oakland Psychological Clinic PC | 2550 S Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 |
| Shobha Prasad | Clinical Social Worker | Oakland Psychological Clinic PC | 2550 S Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 |
| Laurie D Powell | Clinical Social Worker | Oakland Psychological Clinic PC | 2550 S Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 |
| Dov Schuchman | Obstetrics/gynecology | 2550 S Telegraph Rd, 107b, Bloomfield Hills, MI 48302-0951 | |
| Charles F Hughes | Clinical Social Worker | Oakland Psychological Clinic PC | 2550 S Telegraph Rd, Suite 250, Bloomfield, MI 48302-0909 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Henderson | Anesthesiology | Neuro Pain Consultants PC | 799 Denison Ct, Bloomfield Hills, MI 48302-0053 |
| James E Honet | Interventional Pain Management | Neuro Pain Consultants PC | 799 Denison Ct, 1st, Bloomfield Hills, MI 48302-0053 |
| Timothy Matway | Anesthesiology | Neuro Pain Consultants PC | 799 Denison Ct, 1st, Bloomfield Hills, MI 48302-0053 |
| Todd Edward Lininger | Anesthesiology | Neuro Pain Consultants PC | 799 Denison Ct, Bloomfield Hills, MI 48302-0053 |
| Julie K Dutton | Anesthesiology | Neuro Pain Consultants PC | 799 Denison Ct, Bloomfield Hills, MI 48302-0053 |
| Carl R Roehling | Anesthesiology | Neuro Pain Consultants PC | 799 Denison Ct, 1st, Bloomfield Hills, MI 48302-0053 |
| Lisa Provenzano | Nurse Practitioner | Neuro Pain Consultants PC | 799 Denison Ct, Bloomfield Hills, MI 48302-0053 |
| Paul D Croissant | Neurosurgery | Neuro Pain Consultants PC | 799 Denison Ct, Bloomfield Hills, MI 48302-0053 |
| Joshua M Gitlin | Anesthesiology | Neuro Pain Consultants PC | 799 Denison Ct, 1st, Bloomfield Hills, MI 48302-0053 |
| Marlene Hamama | Nurse Practitioner | Neuro Pain Consultants PC | 799 Denison Ct, Bloomfield Hills, MI 48302-0053 |
| Find all physicians in zip 48302 | |||
| City | BLOOMFIELD |
| Zip Code | 48302 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BLOOMFIELD + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Amallie M Defonseka.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.