Burdette And Doss Psychological Services Lc, NPI 1073647731
Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1073647731 |
| NPI Entity Type | Organization |
| Provider Name | Burdette And Doss Psychological Services Lc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 17352 W 12 Mile Rd, Suite 100, Southfield, MI, US |
| Provider Mailing Address | 17352 W 12 Mile Rd, Suite 100, Southfield, MI, US, 480762119 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Barbara Ann Elisabeth Tysell |
| Official Position | ADMINISTRATIVE DIRECTOR |
| Phone | 248-559-0730 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center) |
| Classification | |
| Group | |
| License No. | 630534 |
| License State | MI |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| 630534 | MI | No | |||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 750910921 | MI | BCBS TRADITIONAL CODE | 01 |
| 20700 | MI | BCBS SUB AB AND MGD CARE | 01 |
| 7509109210 | MI | BCBS NASCO IDENTIFIER | 01 |
| 1316097488 | MI | NPPESJAMES A. COWLEY NPI | 01 |
| 26 0 F3 2684 0 | MI | NASCO GROUP TRACKING ID | 01 |
| 38314498 | MI | HAP PROVIDER ID | 01 |
| 7509109210 | MI | VALUEOPTIONS | 01 |
| 0911921 | MI | BCBS PROVIDER ID MDS | 01 |
| 0913921 | MI | BCBS PROVIDER ID MASTERS | 01 |
| 630534 | MI | STATE SUBSTANCE ABUSE LIC | 01 |
| 0912921 | MI | BCBS PROVIDER ID PHDS | 01 |
| 10921 | MI | BCBS MANAGED CARE CODE | 01 |
| F037350 | MI | WEB DENIS IDENTIFIER | 01 |
| 187925000 | MI | MAGELLAN IDENTIFIER | 01 |
| 0910921 | MI | BCBS OF MICHIGAN | 01 |
| 125750 | MI | VALUE OPTIONS PROVIDER ID | 01 |
| P69427 | MI | BLUE CARE NETWORK PIN | 01 |
Other Providers in MI, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
Rafa Therapies Organization |
4745 Michigan Ave |
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Leah West Individual |
1 Genesys Pkwy |
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MRS. Dayna Calka Individual |
2399 E Walton Blvd |
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|
DR. PSYD, MPH Shervin Tehrani-rad Individual |
415 Main St Ste A |
||
|
DR. PSYD Amreeta Gill Individual |
415 Main St Ste A |
||
|
Mackenzie Louise Meredith Individual |
1402 W 14 Mile Rd |
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|
DR. M.D., M.S. Marco Antonio Peterson JR. Individual |
1101 W University Dr 2 South |
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|
PT Esther Karunakar Individual |
6711 Westpointe Dr |
||
|
MD Sailaja Yadavalli Individual |
3601 W 13 Mile Rd |
||
|
MD Jeffery Wong Individual |
44201 Dequindre |
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|
MRS. P.A.-C Sarah Zukowski Wilhelm Individual |
3601 W 13 Mile Rd |
||
|
MD Bridget Wiater Individual |
3601 W 13 Mile Rd 400 Fsc-pcs |
||
|
MD Robert Weinfeld Individual |
44201 Dequindre Rd |
||
|
M.D. Ann E Swinford Individual |
3601 W 13 Mile Rd |
||
|
Lindsay Essig Individual |
1913 Cambridge Dr |
||
|
LPC Jonathan Hart Individual |
52188 Van Dyke Ave Ste 300 |
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|
DDS, MS Suhaib Alqawasmeh Individual |
30090 23 Mile Rd |
||
|
Alexis K Willmore Individual |
3950 Hollywood Rd Ste 280 |
||
|
DR. DO, MPH Jimmy Wayne Brandon Individual |
Preventive Medicine/Occupational Environmental Medicine Physician |
G-3100 Van Slyke Road General Motors Health Services / Flint Assembly |
|
|
Logan Morse Individual |
7343 Oakhaven Ct Ne |
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