JACQUELINE FRITTS (NPI# 1497299309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497299309 |
| Entity Type | Individual |
| Full Name | JACQUELINE FRITTS |
| Credential | M.S., T.L.L.P. |
| Practice Address |
13305 Reeck Road Southgate MI 48195-1879 |
| Mailing Address |
6549 Town Center Drive, Ste. A F201 Clarkston MI 48346-1879 |
| Practice Telephone | 7342252090 |
| Mailing Telephone | 2486206400 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016918 | MI | Behavioral Health & Social Service Providers |
| Street Address |
13305 REECK ROAD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-1879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043623283 | Lindsey Duda | Social Worker | 13305 Reeck Road, Southgate, MI 48195-3197 | 2014-06-05 |
| 1518476753 | Ciara Donaldson | Psychologist | 13305 Reeck Road, Southgate, MI 48195 | 2017-09-20 |
| 1528415619 | Kelly Mainville | Counselor | 13305 Reeck Road, Southgate, MI 48195-3197 | 2016-05-18 |
| 1134595630 | Ismail B. Sendi, Md PC | Clinic/Center | 13305 Reeck Road, Southgate, MI 48195 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124254792 | Camey Springer | Psychologist | 13101 Alan Rd, Southgate, MI 48195-2216 | 2009-06-09 |
| 1326297672 | Michael Paul Lingar | Psychologist | 14799 Dix Toledo Rd, Suite 1100, Southgate, MI 48195-2507 | 2008-09-11 |
| 1629550926 | Nicole Elizabeth Mazur | Psychologist | 13333 Allen Rd, Southgate, MI 48195-2216 | 2018-09-04 |
| 1518476753 | Ciara Donaldson | Psychologist | 13305 Reeck Road, Southgate, MI 48195 | 2017-09-20 |
| 1841680824 | Jessica Toro | Psychologist | 13101 Allen Road, Southgate, MI 48195 | 2015-01-29 |
| 1023415098 | Rebecca Rouse | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2014-11-19 |
| 1568719862 | Wendy Sue Dawson | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2012-08-07 |
| 1922354224 | Michelle Edwards | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2012-07-24 |
| 1053677369 | Debora Marie Collins | Psychologist | 13101 Allen Rd, Southgate, MI 48195-2216 | 2012-04-11 |
| 1023380268 | Toni Renee Pruss | Psychologist | 19401 Northline Rd, Southgate, MI 48195-2277 | 2012-02-03 |
| Find all providers in SOUTHGATE | ||||
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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.