JENNA KHANSA


Address: 62 W 7 Mile Rd, Detroit, MI 48203-1967
Phone: 3138936172

JENNA KHANSA (NPI# 1790203297) 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) 1790203297
Entity Type Individual
Full Name JENNA KHANSA
Credential TLLP
Practice Address 62 W 7 Mile Rd
Detroit
MI 48203-1967
Practice Telephone 3138936172
Practice Fax Number 3138930064
Enumeration Date 2017-09-05
Last Update Date 2020-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
6301017190 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 3434247 05

Office Location

Street Address 62 W 7 MILE RD
City DETROIT
State MI
Zip Code 48203-1967

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154478576 Iklas Jarjis Bashi Counselor 62 W 7 Mile Rd, Detroit, MI 48203-1967 2007-01-05
1437765492 Jamila Ann Fox Registered Nurse 62 W 7 Mile Rd, Detroit, MI 48203-1967 2020-09-16
1609480367 Ali Ali Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2020-09-01
1821638677 Heba Dabaja Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2020-01-09
1942849690 Ryann S Hollis Student in an Organized Health Care Education/Training Program 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-12-29
1083264576 Juhaina Salim Said Al Wahaibi Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-09-17
1225687015 Kendra Sue Hungerford Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-09-05
1255980041 Lauren Taylor Holloway Case Manager/Care Coordinator 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-09-05
1245896018 Asraa Albonajem Social Worker 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-05-16
1548826647 Alonzo Davion Reed Social Worker 62 W 7 Mile Rd, Detroit, MI 48203-1967 2019-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992355135 James Calloway Peer Specialist 1211 E Mcnichols, Detroit, MI 48203 2019-09-19
1851868582 Community Veterans Services Inc Counselor 163 Tennyson, Highland Park, MI 48203 2018-10-31
1346601838 Rainbow Center of Michigan Health Maintenance Organization 12501 Hamilton Ave., Highland Park, MI 48203 2016-03-11
1134502354 Minds Moving In New Directions Inc Community/Behavioral Health 62 Massachusetts St, Highland Park, MI 48203 2015-07-07
1811312937 Brea Holloway Home Health 20249 Yacama Rd, Detroit, MI 48203 2014-02-26
1770821795 St John Providence Health Systems Community/Behavioral Health 1150 Lantz St, Detroit, MI 48203 2013-01-25
1871845412 Waneta Darcell Dickerson Social Worker 169 W. Buena Vista, Highlandpark, MI 48203 2012-10-05
1629331939 Maureen Connolly Pediatrics 77 Victor St, Highland Park, MI 48203 2012-06-21
1578850251 Detroit Recovery Project Community/Behavioral Health 1121 East Mc Nichols, Detroit, MI 48203 2011-07-01
1265728414 Barbara Suzanne Tyson Home Health 301 Glendale St, Apt B8, Highland Park, MI 48203 2011-06-27
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285129221 Wayne State University Psychologist 540 E Canfield St Ste 1241, Detroit, MI 48201 2018-06-22
1508362922 Claudia Anagurthi Psychologist Chm/specilty Center, 3950 Beaubien Ground Fl, Detroit, MI 48201 2018-04-04
1992136295 Marilyn Franklin Psychologist 9000 E Jefferson Ave Apt 28-17, Detroit, MI 48214-2940 2013-12-12
1144669318 Julia Helene Bellamy Psychologist 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 2013-06-20
1255675005 Nicole Henriksen Psychologist 4201 Saint Antoine St Ste 4b, Detroit, MI 48201 2012-11-17
1093061517 Kinneta Easter Mason Psychologist 19738 Fielding St, Detroit, MI 48219 2012-08-02
1376859785 Eugene Ronald Craig Psychologist 300 Riverfront Dr, Suite 16 H, Detroit, MI 48226-4516 2010-08-23
1902126725 Dana Raquel Lasenby Psychologist 3434 Russell St, Suite #307, Detroit, MI 48207-2062 2010-06-03
1699004614 Monica Anne Moore Psychologist 18940 Oak Dr, Detroit, MI 48221-2264 2009-12-22
1750610796 Sekai Denard Broaden Psychologist 14952 Rosemont Ave, Detroit, MI 48223-2364 2009-12-22
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Competitor

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City DETROIT
Zip Code 48203

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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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