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STEVEN J CERESNIE PHD PC NPI 1013166578


NPI Information

NPI: 1013166578
Provider Name: STEVEN J CERESNIE PHD PC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
199 N MAIN ST
PLYMOUTH, MI
ZIP 48170
Phone: (734) 453-9290
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STEVEN J CERESNIE PHD PC is a clinical child and adolescent psychologist in Plymouth, MI. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. STEVEN J CERESNIE PHD PC NPI is 1013166578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

199 N MAIN ST
PLYMOUTH, MI
ZIP 48170-272
Phone: (734) 453-9290
Fax: (734) 453-9293

The provider's authorized official is Steven J Ceresnie .
The authorized official title is Owner and has the following contact phone number (734) 453-9290.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 10/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & Adolescent6301002659MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1620H24558OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN
20P61950MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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