DR. KELLY KLING-SELANDER (NPI# 1295853604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295853604 |
| Entity Type | Individual |
| Full Name | DR. KELLY KLING-SELANDER |
| Credential | PH.D. |
| Practice Address |
44555 Woodward Ave Ste 405 Pontiac MI 48341-5036 |
| Mailing Address |
3269 Bloomfield Park Dr West Bloomfield MI 48323-3515 |
| Practice Telephone | 2483354010 |
| Mailing Telephone | 2488659241 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301008319 | MI | Behavioral Health & Social Service Providers |
| Street Address |
44555 WOODWARD AVE STE 405 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801954623 | Donald E. Deering Jr. | Counselor | 44555 Woodward Ave Ste 405, St. Joseph Mercy Oakland, Medical Office Bldg, Pontiac, MI 48341-5036 | 2006-12-05 |
| 1730344037 | Anne Dorothy Dunlop | Social Worker | 44555 Woodward Ave Ste 405, Pontiac, MI 48341-5036 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749373 | Monika Joanna Sata | Psychologist | 35 W Huron St Fl 7, Pontiac, MI 48342-2120 | 2019-09-17 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1316956196 | Margaret H Frankovich | Psychologist | 325 E Timber St # A, Pontiac, IL 61764-2128 | 2006-08-07 |
| 1053912428 | Kathryn Paul | Psychologist | 700 W Lincoln St, Pontiac, IL 61764-2323 | 2020-11-03 |
| 1811462823 | Ashley Marie Snowden | Psychologist | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2018-10-05 |
| 1538533815 | Ryan Gordon Beale | Psychologist | 1200 N Telegraph Rd, Building 32 East, Pontiac, MI 48341-1032 | 2015-11-24 |
| 1710300751 | Diane Mae Tunison | Psychologist | 1685 Baldwin Ave, Suite A, Pontiac, MI 48340-1115 | 2014-01-28 |
| 1689097677 | John Joseph Siller Jr. | Psychologist | 35 W Huron St, Suite 10 South, Pontiac, MI 48342-2120 | 2014-01-27 |
| 1972942712 | Coletta Nelson Thomas | Psychologist | 461 W Huron St, Pontiac, MI 48341-1601 | 2013-06-14 |
| 1992044507 | Jennifer Marie Van Cleve | Psychologist | 1200 N Telegraph Rd, Bldg 32e, Pontiac, MI 48341-1032 | 2013-02-04 |
| Find all providers in PONTIAC | ||||
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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.