MS. KORI EILEEN CARSON DEAN (NPI# 1679981484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679981484 |
Entity Type | Individual |
Full Name | MS. KORI EILEEN CARSON DEAN |
Credential | ED.S, MS, SSP, ABSNP |
Practice Address |
5103 W Pierson Rd Suite #3 Flint MI 48504-1395 |
Practice Telephone | 8103912923 |
Practice Fax Number | 8103912968 |
Mailing Telephone | 8103912923 |
Mailing Fax Number | 8103912968 |
Enumeration Date | 2014-07-24 |
Last Update Date | 2017-01-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
6301016021 | MI | Behavioral Health & Social Service Providers |
Y | 103TS0200X |
Psychologist Specialization: School |
SP0000000836585 | MI | Behavioral Health & Social Service Providers |
Street Address |
5103 W PIERSON RD SUITE #3 |
City | FLINT |
State | MI |
Zip Code | 48504-1395 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104875657 | Samuel John Salem | Dentist | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2006-05-10 |
1871027896 | Oaktree Community & Social Growth | Case Management | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2017-04-17 |
1770975260 | Bethany Green | Social Worker | 5103 W Pierson Rd, Suite 3, Flint, MI 48504-1395 | 2015-02-20 |
1689076390 | Stephanie Marie Johnson | Speech-Language Pathologist | 5103 W Pierson Rd, Suite #3, Flint, MI 48504-1395 | 2014-09-24 |
1902236755 | Yvonne Williams | Occupational Therapist | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2013-11-14 |
1114357084 | Learning Dreams LLC | Clinic/Center | 5103 W Pierson Rd, Flint, MI 48504-1395 | 2013-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750935326 | St. Luke N.e.w. Life Center, Inc. | Optometrist | 3115 Lawndale Ave., Flint, MI 48504 | 2019-07-31 |
1235797259 | Saarah Amuthan | Dentist | 2051 West Pierson Road, Dental Dreams, Units B-d, Flint, MI 48504 | 2019-06-04 |
1639653413 | Chad Warren Montague | Social Worker | 1420 West University Ave, Flint, MI 48504 | 2018-09-18 |
1235628744 | Houda Ghassani | Dentist | 2501 W Pierson Rd # Unitsb-d, Flint, MI 48504 | 2018-05-09 |
1982108551 | Dawn Michelle Conklin | Physical Therapist | 1069 N Ballenger Hwy, Flint, MI 48504 | 2018-03-20 |
1699295204 | Stephen Thomas Holt | Dentist | 2501 West Pierson Road, Units B-d, Flint, MI 48504 | 2017-06-23 |
1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
1609151109 | All American Pharmacy LLC | Pharmacy | 3104-3106 Flushing Rd, Flint, MI 48504 | 2011-10-15 |
1972814143 | Ballenger Pharmacy Center | Pharmacy | 1073 N Ballenger Hwy, Flint Twp, MI 48504 | 2010-06-23 |
1932357837 | Katherine Ann Kogelmann | Social Worker | 1420 W. University, Flint, MI 48504 | 2008-09-04 |
Find all providers in zip 48504 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861813628 | Robert Russell | Psychologist | 1009 Woodlawn Park Dr, Flint, MI 48503-2762 | 2013-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477161347 | Becky Ann Tiret | Psychologist | 6896 Pleasant Ridge Trl, Saginaw, MI 48603-8677 | 2020-07-16 |
1366092298 | Cheyne Stresky | Psychologist | 945 Watersedge Ct, Oxford, MI 48371-3682 | 2019-09-12 |
1801456819 | Kenneth Michael Pierson | Psychologist | 100 Bowne St Ne, Grand Rapids, MI 49505-4014 | 2019-06-20 |
1831675271 | Katlyn Ploss | Psychologist | 43155 Main St Ste 2300g, Novi, MI 48375-1889 | 2018-07-18 |
1205320728 | Ashley L Weinert | Psychologist | 27780 Novi Rd Ste 244, Novi, MI 48377-3427 | 2018-06-18 |
1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
1306336466 | Jeremy Stembridge | Psychologist | 2520 University Park Bldg D, Mount Pleasant, MI 48858-4464 | 2018-05-15 |
1396235321 | Robert Dale Wyse | Psychologist | Central Michigan University Sloan Hall 139, Mt Pleasant, MI 48859-0001 | 2018-05-15 |
1295231926 | Nina Marie Elmendorf-steele | Psychologist | 8966 Meadow Ln, Berrien Springs, MI 49103-1479 | 2018-04-02 |
1114396413 | Heather Marie Martin | Psychologist | 19190 Kinloch, Redford, MI 48240-2602 | 2015-09-17 |
Find all providers with the same taxonomy |
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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.