DR. SANDRA R CHAMPE (NPI# 1215172580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215172580 |
| Entity Type | Individual |
| Full Name | DR. SANDRA R CHAMPE |
| Credential | PH.D |
| Practice Address |
5600 W Maple Rd A-150 West Bloomfield MI 48322-3704 |
| Practice Telephone | 2483396618 |
| Practice Fax Number | 8666075280 |
| Mailing Telephone | 2483396618 |
| Mailing Fax Number | 8666075280 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301002806 | MI | Behavioral Health & Social Service Providers |
| Street Address |
5600 W MAPLE RD A-150 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086697 | Wanda E Edwards | Registered Nurse | 5600 W Maple Rd, Suite B 206, West Bloomfield, MI 48322-3704 | 2005-07-13 |
| 1942841317 | Upsurge Counseling and Consulting, LLC | Social Worker | 5600 W Maple Rd, West Bloomfield, MI 48322-3704 | 2019-10-07 |
| 1437630480 | Morgan Hadden | Psychologist | 5600 W Maple Rd, West Bloomfield, MI 48322-3704 | 2018-08-28 |
| 1861905838 | Valorie Starr Evans | Social Worker | 5600 W Maple Rd, West Bloomfield, MI 48322-3704 | 2017-11-13 |
| 1053796557 | Embracing Life Counseling, LLC | Point of Service | 5600 W Maple Rd, Suite C-302, West Bloomfield, MI 48322-3704 | 2015-07-25 |
| 1922416577 | Tomeka Liscombe | Counselor | 5600 W Maple Rd, Suite 213, West Bloomfield, MI 48322-3704 | 2014-07-28 |
| 1518389188 | Pathways Counseling Group | Counselor | 5600 W Maple Rd, D401, West Bloomfield, MI 48322-3704 | 2014-01-15 |
| 1659711703 | Toby Beach | Social Worker | 5600 W Maple Rd, Ste. A-150, West Bloomfield, MI 48322-3704 | 2013-07-02 |
| 1235578832 | Ann Marie Collins Phd Pmhnp Lpc | Psychologist | 5600 W Maple Rd, Ste B-206, West Bloomfield, MI 48322-3704 | 2013-06-18 |
| 1053677385 | Community Choice Care Network Inc | Hospice Care, Community Based | 5600 W Maple Rd, Suite B- 213, West Bloomfield, MI 48322-3704 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265741961 | Full Cirlce Wellness | Psychologist | 5600 W Maple Rd Ste A110, West Bloomfield, MI 48322-3705 | 2010-09-28 |
| 1497981708 | Phyllis Ellen Levitt | Psychologist | 4592 Fairway Rdg, West Bloomfield, MI 48323-3309 | 2009-06-02 |
| 1043267040 | Joan Frances Lazar | Psychologist | 6024 W Maple Rd, Suite 107, West Bloomfield, MI 48322-4405 | 2006-05-27 |
| 1326357476 | Full Circle Behavioral Services, PC | Psychologist | 5600 W Maple Rd Ste A110, West Bloomfield, MI 48322-3705 | 2010-10-06 |
| 1679743181 | Jessica Purtan Harrell | Psychologist | 5665 W Maple Rd, Suite A, West Bloomfield, MI 48322-3741 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820598 | Alexander William Krieg | Psychologist | 31235 Ramble Rd, Franklin, MI 48025-1367 | 2020-10-26 |
| 1699389395 | Linda D Seltzer-sucher Phd LLC | Psychologist | 275 Bryn Mawr St, Birmingham, MI 48009-1501 | 2020-09-01 |
| 1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
| 1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
| 1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
| 1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
| 1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.