SANDRA MCCLENNEN


Address: 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458
Phone: 3133404442

SANDRA MCCLENNEN (NPI# 1699101337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 7800 W OUTER DR STE 300
City DETROIT
State MI
Zip Code 48235-3458

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1497179170 Detroit Wayne Mental Health Authority Psychologist 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 2014-02-14
1053735498 Amary Lehto Psychologist 649 E Boston Blvd, Detroit, MI 48202-1322 2014-02-05
1841791019 Anya Lettice Lewis Psychologist 8600 Woodward Ave, Detroit, MI 48202-2142 2018-02-23
1932508017 Frank Tripi Psychologist 11000 W Mcnichols Rd, Detroit, MI 48221-2357 2014-08-14
1093114266 Charles Vanauken Psychologist 11000 W Mcnichols Rd, Detroit, MI 48221-2357 2014-08-14
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396363933 Parents Zone, LLC Psychologist 23481 Seneca Street, Oak Park, MI 48237-2245 2020-07-09
1447802111 Natalia Viera-vanarkel Psychologist 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 2019-07-12
1477092054 Jeremy Ladronka Psychologist 640 Seminole Rd, Norton Shores, MI 49441-4720 2017-02-16
1164965877 Amy Breckon Psychologist 8201 Anglers Ln, Hudsonville, MI 49426-8641 2016-11-29
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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Competitor

Search similar providers

City DETROIT
Zip Code 48235

Improve Information

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Dataset Information

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.

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