JASON MARK SCIMEMI (NPI# 1932714615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932714615 |
| Entity Type | Individual |
| Full Name | JASON MARK SCIMEMI |
| Credential | TLLP |
| Practice Address |
1309 S Linden Rd Ste C Flint MI 48532-3443 |
| Mailing Address |
1109 Ramsgate Rd Apt 4 Flint MI 48532-3122 |
| Practice Telephone | 8106301152 |
| Practice Fax Number | 8106309107 |
| Mailing Telephone | 2489770137 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6362009222 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1309 S LINDEN RD STE C |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319863 | Terry Lee Whyte Jr. | Nurse Practitioner | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2005-07-14 |
| 1467824425 | Charles T. Kennedy Jr. | Social Worker | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2015-10-29 |
| 1972948925 | Nichole Rae Mead-hall | Psychologist | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2013-05-03 |
| 1255509832 | Delta Family Clinic South P.c | Clinic/Center | 1309 S Linden Rd Ste C, Flint, MI 48532 | 2008-02-15 |
| 1104030725 | Diana Elliott Carpenter II | Counselor | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1114358900 | Katie Lynn Bowers | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2013-12-05 |
| 1851730329 | Teresa Marie Lukasavitz | Psychologist | 1063 Professional Dr # D4, Flint, MI 48532-3636 | 2013-06-18 |
| 1821115049 | Jodi Cavanaugh | Psychologist | 420 W. 5th Avenue, Flint, MI 48503 | 2007-03-23 |
| 1902981699 | William Dawson Daniels | Psychologist | G-4511 Miller Rd, Flint, MI 48507 | 2006-10-25 |
| 1043245533 | Jamail Psychological Clinic PC | Psychologist | 1114 Beach St, Flint, MI 48502-1407 | 2006-07-12 |
| 1700868288 | Christopher John Danko | Psychologist | 5710 Clio Rd, Flint, MI 48504-1524 | 2005-11-18 |
| 1124634639 | June Nguyen Westdal | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2020-09-20 |
| 1306490370 | Premier Thinking Mental Health Services, LLC | Psychologist | 4058 N Linden Rd Ste H, Flint, MI 48504-1381 | 2019-07-29 |
| 1770050999 | Sarah M Lytle | Psychologist | 1102 Mackin Rd, Flint, MI 48503-1204 | 2018-10-25 |
| Find all providers in FLINT | ||||
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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.