Carissa Gaden, Ph.D., P.C. in Saint Clair Shores - Psychologist
Carissa Gaden, Ph.D., P.C. - NPI 1982820957
Carissa Gaden, Ph.D., P.C. is a Psychologist in Saint Clair Shores, Michigan. Carissa Gaden, Ph.D., P.C. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Carissa Gaden, Ph.D., P.C. is 1982820957. The last update date is 2022-11-08.
Carissa Gaden, Ph.D., P.C.'s current location address is 27941 Harper Ave Ste 102, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867729390 and fax number 5868595300. The mailing address for Carissa Gaden, Ph.D., P.C. is 27941 Harper Ave Ste 102, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carissa Gaden, Ph.D., P.C. |
|---|---|
| Address | 27941 Harper Ave Ste 102, Saint Clair Shores, Michigan |
| Phone Number | 5867729390 |
| Fax Number | 5868595300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gaden Carissa |
| Credentials | PH.D. |
| Telephone Number | 5867729390 |
NPI Number Detail
| NPI Number | 1982820957 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2022-11-08 |
Provider Mailing Address Detail
| Address | 27941 Harper Ave Ste 102 |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480811535 |
| Phone Number | 5867729390 |
| Fax Number | 5868595300 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71020000EO1883 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carissa Gaden, Ph.D., P.C. by the Centers for Medicare & Medicaid Services?
The Carissa Gaden, Ph.D., P.C. has been assigned the NPI (National Provider Identifier) 1982820957 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Carissa Gaden, Ph.D., P.C.?
The Carissa Gaden, Ph.D., P.C. is physically situated at 27941 Harper Ave Ste 102, in the city of Saint Clair Shores, state of MI, with the postal code 480811535.
What is Carissa Gaden, Ph.D., P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carissa Gaden, Ph.D., P.C. is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982820957 to Carissa Gaden, Ph.D., P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1982820957 to Carissa Gaden, Ph.D., P.C. on 2007-04-18.
As of what date were the details pertaining to Carissa Gaden, Ph.D., P.C. last refreshed?
The information related to the Carissa Gaden, Ph.D., P.C., including its address, specialty, and other relevant details, was last updated on 2022-11-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM