ASCENSION EASTWOOD BEHAVIORAL HEALTH NPI 1104044676

NPI Information

  • NPI: 1104044676
  • Provider Name: ASCENSION EASTWOOD BEHAVIORAL HEALTH
  • Classification: Psychologist - 103T00000X
  • Entity Type: Organization
  • Doing Business As: EASTWOOD CLINICS
  • CLIA Number: 23D0363213
  • Address: 24055 JEFFERSON AVE STE 103
    SAINT CLAIR SHORES, MI
    ZIP 48080
  • Phone: (586) 445-2210

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NPI Details

ASCENSION EASTWOOD BEHAVIORAL HEALTH is a psychologist in Saint Clair Shores, MI. The provider is 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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. ASCENSION EASTWOOD BEHAVIORAL HEALTH NPI is 1104044676. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Eastwood Clinics.

The provider's business location address is:

24055 JEFFERSON AVE STE 103
SAINT CLAIR SHORES, MI
ZIP 48080-511
Phone: (586) 445-2210
Fax: (586) 445-0700

The provider's authorized official is Sarah Starkel .
The authorized official title is Suoervisor and has the following contact phone number (586) 753-0400.

The CLIA number assigned to this NPI record is 23D0363213 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 11/15/2023.

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
1101Y00000XCounselorNo
2104100000XSocial WorkerNo
3106H00000XMarriage & Family TherapistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5103T00000XPsychologistYes

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: 3/30/2025

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