MS. TEMEKIA M WYCKOFF NPI 1972062321

NPI Information

NPI: 1972062321
Provider Name: MS. TEMEKIA M WYCKOFF
Classification: Public Health or Welfare - 251K00000X
Entity Type: Individual
Address:
153 CALIFORNIA ST
HIGHLAND PARK, MI
ZIP 48203
Phone: (313) 468-0673
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MS. Temekia M Wyckoff is a public health or welfare in Highland Park, MI. MS. Temekia M Wyckoff NPI is 1972062321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

153 CALIFORNIA ST
HIGHLAND PARK, MI
ZIP 48203-517
Phone: (313) 468-0673

The enumeration date for this NPI number is 3/15/2019 and was last updated on 3/15/2019.

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
1	101YM0800X	Counselor	Mental Health	802268787	MICHIGAN	No
2	103TP2701X	Psychologist	Group Psychotherapy	802268787	MICHIGAN	No
3	251E00000X	Home Health		802268787	MICHIGAN	No
4	251K00000X	Public Health or Welfare		802268787	MICHIGAN	Yes
5	171M00000X	Case Manager/Care Coordinator		802268787	MICHIGAN	No

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
1	802268787	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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