DR. SHIRLEY ANN MACK (NPI# 1790991990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790991990 |
| Entity Type | Individual |
| Full Name | DR. SHIRLEY ANN MACK |
| Credential | PH.D., LPC |
| Practice Address |
15501 Metropolitan Pkwy Suite 107 Clinton Township MI 48036-1684 |
| Mailing Address |
20466 Fleetwood Dr Harper Woods MI 48225-1624 |
| Practice Telephone | 5862633880 |
| Mailing Telephone | 3135221569 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401005017 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669643250 | Shirley A. Mack | Contractor | 8486 S Hunnic Dr, Tucson, AZ 85747-5989 | 2008-03-21 |
| Street Address |
15501 METROPOLITAN PKWY SUITE 107 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083019277 | Empower Physical Therapy and Fitness | Physical Therapy Assistant | 15501 Metropolitan Pkwy, Suite 102, Clinton Township, MI 48036-1684 | 2014-10-30 |
| 1316371156 | Stacey Lynn Schoenherr | Social Worker | 15501 Metropolitan Pkwy, Suite 107, Clinton Township, MI 48036-1684 | 2013-08-28 |
| 1902144587 | Christian Donald Olson | Social Worker | 15501 Metropolitan Pkwy, Suite 107, Clinton Township, MI 48036-1684 | 2013-01-16 |
| 1467704072 | Amy Marie Kennedy | Occupational Therapist | 15501 Metropolitan Pkwy, Clinton Township, MI 48036-1684 | 2012-10-05 |
| 1811257769 | Hamilton Psychological Services | Psychologist | 15501 Metropolitan Pkwy, Suite 107, Clinton Township, MI 48036-1684 | 2012-05-25 |
| 1437418738 | Vera Jay | Physical Therapist | 15501 Metropolitan Pkwy, Suite 102, Clinton Township, MI 48036-1684 | 2012-05-08 |
| 1952602716 | Hardik N Patel | Physical Therapist | 15501 Metropolitan Pkwy, Suit 102, Clinton Township, MI 48036-1684 | 2010-11-10 |
| 1215255369 | Sarah Christine Guertin | Psychologist | 15501 Metropolitan Pkwy, Suite 107, Clinton Township, MI 48036-1684 | 2010-05-13 |
| 1144559089 | Julie Ann Rosa | Physical Therapy Assistant | 15501 Metropolitan Pkwy, Suite 102, Clinton Township, MI 48036-1684 | 2009-12-23 |
| 1003046442 | Diane K Schalk | Counselor | 15501 Metropolitan Pkwy, Suite 107, Clinton Township, MI 48036-1684 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1285071027 | Amy Rene Johnson | Counselor | 38267 Fernhill Ct, Clinton Township, MI 48038-3422 | 2013-06-03 |
| 1013219542 | Deborah Ann Stanley | Counselor | 36800 S Gratiot Ave, Suite Ll2, Clinton Township, MI 48035-1773 | 2010-12-04 |
| 1962720805 | Angela Marie Kosmas | Counselor | 42815 Garfield Rd Ste 203, Clinton Township, MI 48038-1143 | 2010-05-16 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1477736379 | Liliana Pacitti | Counselor | 17097 17 Mile Rd, Ste 209, Clinton Township, MI 48038-2919 | 2007-12-13 |
| 1225171218 | Henry Ford Macomb Hospital Corporation | Counselor | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-15 |
| 1386723542 | Katharine Kiefer Alfs | Counselor | 43422 Garfield Rd. Suite A, Clinton Township, MI 48038 | 2006-11-06 |
| 1497868590 | Carol S Agnew | Counselor | 42627 Garfield Rd Ste 217, Clinton Township, MI 48038-5032 | 2006-08-16 |
| 1235112616 | Catholic Services of Macomb | Counselor | 15945 Canal Rd, Clinton Township, MI 48038-1610 | 2005-11-21 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on DR. SHIRLEY ANN MACK.
| 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.