JOYCELYNN YVONNE GLOVER ELLISON (NPI# 1689186363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689186363 |
| Entity Type | Individual |
| Full Name | JOYCELYNN YVONNE GLOVER ELLISON |
| Other Name | JOYCELYNN YVONNE GLOVER |
| Practice Address |
718 Oak St Flint MI 48503-2614 |
| Mailing Address |
106 Cherokee Rd Pontiac MI 48341-1504 |
| Practice Telephone | 8102338815 |
| Practice Fax Number | 8108338812 |
| Mailing Telephone | 2483968061 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301017251 | MI | Behavioral Health & Social Service Providers |
| Street Address |
718 OAK ST |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820863 | Omar Hyatt | Peer Specialist | 718 Oak St, Flint, MI 48503-2614 | 2019-06-18 |
| 1730691577 | Nichole Leann Landers | Peer Specialist | 718 Oak St, Flint, MI 48503-2614 | 2017-11-02 |
| 1982128393 | Flint Odyssey House, Inc. | Substance Abuse Rehabilitation Facility | 718 Oak St, Flint, MI 48503-2614 | 2017-07-27 |
| 1366890584 | Larcia Latimer | Social Worker | 718 Oak St, Flint, MI 48503-2614 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031680 | Suzanne R Jamail Ph D | Psychologist | 5524 S Saginaw Rd, Flint, MI 48507-4421 | 2015-04-24 |
| 1215343793 | Tamara Lynn Mckay | Psychologist | 1428 W Court St, Flint, MI 48503 | 2014-07-07 |
| 1912324484 | Jessica Moore | Psychologist | 1286 S Linden Rd Ste B, Flint, MI 48532-3457 | 2014-03-24 |
| 1902129943 | Allen Reginald Bellamy | Psychologist | 400 N Saginaw St Ste 201, Flint, MI 48502-2045 | 2010-03-04 |
| 1891973053 | Richard Stuart Mach | Psychologist | 814 S Vernon Ave, Flint, MI 48503-2254 | 2008-02-09 |
| 1942326087 | Jesse Soulia | Psychologist | 1309 S Linden Rd Ste D, Flint, MI 48532-3443 | 2007-03-21 |
| 1447383328 | Ronald Emile Silverman | Psychologist | 1213 Beard Street, Flint, MI 48503-5372 | 2007-03-13 |
| 1376689968 | Robert Bottinelli Phd PC | Psychologist | 2187 S Dye Rd, Flint, MI 48532 | 2007-01-30 |
| 1386744191 | Nicole Jeanette Franklin | Psychologist | G-3200 Beecher Road, Suite Mbi, Flint, MI 48532-3685 | 2006-09-22 |
| 1679675714 | Victorean L Cox | Psychologist | 1172 Robert T Longway Blvd, Flint, MI 48503-1851 | 2006-09-01 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on JOYCELYNN YVONNE GLOVER ELLISON.
| 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.