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Deactivated NPI 1083891527 Deactivated / Inactive NPI Male Practitioner

Dr. Stuart G Itzkowitz , PhD

Psychologist - Cognitive & Behavioral • Bloomfield Hills, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stuart Itzkowitz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 28, 2008
NPI Deactivation Date November 25, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Stuart Itzkowitz, PhD was a registered Psychologist - Cognitive & Behavioral practicing in Bloomfield Hills, MI. Throughout an active medical career spanning 11 years, Dr. Itzkowitz provided care at the practice location at 74 W LONG LAKE RD until profile deactivation on 2019-11-25.

Practice Location & Contact Primary Location

Practice Address

74 W Long Lake Rd
Suite 104

Bloomfield Hills, MI 483042769

Telephone 2486426066
Fax 2486425739
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Bloomfield Hills, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Bloomfield Hills, MI (127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License MI 6301006500

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Pamela Cockels , LPC

Counselor - Professional

NPI 1033486162

Licensed Professional Counselor

Jesse Allgeier , MA

Counselor - Professional

NPI 1043521693

Master of Arts

Paula Denyes , MA, LPC

Counselor - Professional

NPI 1083006977

Master of Arts, Licensed Professional Counselor

NPI 1215081971

Doctor of Philosophy (Ph.D.)

Pamela Van Kampen , MED, LPC

Counselor - Professional

NPI 1215162185

Master of Education, Licensed Professional Counselor

NPI 1285770255

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 25, 2019

Record deactivated on November 25, 2019

NPI Profile Active January 28, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 28, 2008

Registered at 74 W LONG LAKE RD, SUITE 104, BLOOMFIELD HILLS, MI 483042769 (Tel: 2486426066)

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Updated Business Mailing Address January 28, 2008

Registered at 22626 STATLER ST, SAINT CLAIR SHORES, MI 480812366 (Tel: 5863622660)

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Provider Name / Credentials Updated January 28, 2008

Recorded as STUART ITZKOWITZ, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2008

Psychologist (License #6301006500 in MI)

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Initial NPI Registration & Enumeration January 28, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083891527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2008
Last Update: January 28, 2008
Deactivation Date: November 25, 2019

Mailing Address

22626 Statler St

Saint Clair Shores, MI 480812366

Phone: 5863622660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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