SANDRA MCCLENNEN (NPI# 1699101337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699101337 |
Entity Type | Individual |
Full Name | SANDRA MCCLENNEN |
Credential | L.P. |
Practice Address |
7800 W Outer Dr Ste 300 Detroit MI 48235-3458 |
Mailing Address |
619 N Sheldon Rd Plymouth MI 48170-1046 |
Practice Telephone | 3133404442 |
Mailing Telephone | 7344536857 |
Mailing Fax Number | 7344531454 |
Enumeration Date | 2013-09-25 |
Last Update Date | 2019-07-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
6301001694 | MI | Behavioral Health & Social Service Providers |
Street Address |
7800 W OUTER DR STE 300 |
City | DETROIT |
State | MI |
Zip Code | 48235-3458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629233952 | Sandra Duque | Social Worker | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2008-07-25 |
1598372187 | Marykelly Wallace | Occupational Therapist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-09-28 |
1124633003 | Shannon Jessica Jason | Case Manager/Care Coordinator | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-09-09 |
1518577121 | Sarah Downey | Occupational Therapist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-08-07 |
1548878408 | Andrea Lynne Schmitt | Speech-Language Pathologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-07-16 |
1124646310 | Torey M. Mcnally | Speech-Language Pathologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-07-14 |
1205468006 | Jacob C Clark | Occupational Therapy Assistant | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-02-10 |
1750912416 | Janice Nicole Tillmon | Social Worker | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2020-01-31 |
1104469303 | Sherisa Renell Mcdonald | Psychologist | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2019-10-21 |
1558915744 | William Newman | Contractor | 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 | 2019-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
Find all providers in zip 48235 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
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1932508017 | Frank Tripi | Psychologist | 11000 W Mcnichols Rd, Detroit, MI 48221-2357 | 2014-08-14 |
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1932514528 | Janice Short | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2014-06-23 |
1396966420 | Alice J. Schultz | Psychologist | 220 Bagley, Suite 1100, Detroit, MI 48226 | 2007-05-02 |
1447336573 | Thedoshia Carter Afc#1 | Psychologist | 8505 Plymouth Rd, Detroit, MI 48204-1905 | 2006-10-31 |
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1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
1619204914 | Anitha Mummineni | Psychologist | 50889 Briar Ridge Lane, Northville, MI 48168-3215 | 2009-11-06 |
1104082254 | Matthew Russell Osborne | Psychologist | 6 Marshall Ct, Ann Arbor, MI 48104-2926 | 2008-07-29 |
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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.