JACLYN HAMLIN (NPI# 1821460270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821460270 |
| Entity Type | Individual |
| Full Name | JACLYN HAMLIN |
| Credential | M.S.C.P, TLLP |
| Practice Address |
25501 Van Dyke Ave Lifeline Psychiatric Services Center Line MI 48015-1208 |
| Mailing Address |
31219 Arrowhead St Saint Clair Shores MI 48082-1208 |
| Practice Telephone | 5867558911 |
| Mailing Telephone | 2482759067 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016375 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH | 13642807 | 01 |
| MI | PSYCHOLOGIST TEMPORARY LIMITED LICENSE | 630106375 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821520099 | Jaclyn Hamlin | Behavioral Analyst | 400 S Colorado Blvd, 400, Glendale, CO 80246-1253 | 2017-03-28 |
| 1366992356 | Jaclyn Michelle Hamlin | Registered Nurse | 555 Herndon Pkwy, Herndon, VA 20170-5276 | 2016-10-13 |
| Street Address |
25501 VAN DYKE AVE LIFELINE PSYCHIATRIC SERVICES |
| City | CENTER LINE |
| State | MI |
| Zip Code | 48015-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285064063 | Life Line Psychiatric Services | Psychiatry & Neurology | 25501 Van Dyke Ave, Center Line, MI 48015-1824 | 2013-11-15 |
| 1891196713 | Katherine Anne Zarski | Registered Nurse | 25501 Van Dyke Ave, Center Line, MI 48015-1824 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043772098 | Haley Giordano | Nurse Practitioner | 8033 E 10 Mile Rd Ste 101, Center Line, MI 48015 | 2019-04-01 |
| 1699147843 | Kara Michelle Gee | Dental Hygienist | 6900 East 10 Mile Rd., Centerline, MI 48015 | 2015-10-28 |
| 1811391212 | Mycare Health Center | Clinic/Center | 6900 E 10 Mile Road, Center Line, MI 48015 | 2014-10-14 |
| 1407283831 | Barbara Miller | Licensed Practical Nurse | 8033 E. Ten Mile Rd, Centerline, MI 48015 | 2013-09-30 |
| 1043647472 | Michael Keith Lankford | Registered Nurse | 8033 East 10 Mile Rd, Center Line, MI 48015 | 2013-09-30 |
| 1336430230 | Kelly Brooke Brinkmann | Counselor | 26522 Van Dyke Ave., Center Line, MI 48015 | 2011-04-26 |
| 1083875520 | Compassion Home Health Services, L.L.C. | Home Health | 26160 Van Dyke Ave., Center Line, MI 48015 | 2008-06-18 |
| 1821282203 | Mahmoud M Selim | Otolaryngology | 8033 E. 10 Mile Rd., Ste. 104, Center Line, MI 48015 | 2007-08-29 |
| 1043436470 | Atrium Home & Healthcare Services Inc. | Home Health | 8033 E. Ten Mile Rd., Suite 114, Center Line, MI 48015 | 2007-04-17 |
| 1841342565 | Sanity Home Health Care Inc | Home Health | 8075 Ritter, Center Line, MI 48015 | 2007-01-16 |
| Find all providers in zip 48015 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922456961 | Jacqueline Lamkin | Psychologist | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2016-06-01 |
| 1902232903 | Evan L Mclaughlin | Psychologist | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2013-09-23 |
| 1821363680 | Jennifer Dearnley | Psychologist | 26522 Van Dyke Ave, Center Line, MI 48015-1221 | 2012-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | CENTER LINE |
| Zip Code | 48015 |
Please comment or provide details below to improve the information on JACLYN HAMLIN.
| 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.