SIERRA GILLIS


Address: 15000 Gratiot Ave, Detroit, MI 48205-1973
Phone: 3134233067

SIERRA GILLIS (NPI# 1033728613) 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) 1033728613
Entity Type Individual
Full Name SIERRA GILLIS
Practice Address 15000 Gratiot Ave
Detroit
MI 48205-1973
Mailing Address 45773 Bryn Mawr Rd
Canton
MI 48187-5431
Practice Telephone 3134233067
Mailing Telephone 7346262925
Enumeration Date 2020-07-29
Last Update Date 2020-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6352000029 MI Behavioral Health & Social Service Providers

Office Location

Street Address 15000 GRATIOT AVE
City DETROIT
State MI
Zip Code 48205-1973

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033108832 Triangle Industries Inc Psychiatric Hospital 15000 Gratiot Ave, Detroit, MI 48205-1973 2005-10-14
1992348197 Edward Roberts Pllc Psychiatry & Neurology 15000 Gratiot Ave, Detroit, MI 48205-1973 2019-10-21
1326563263 Laurie Clemons Counselor 15000 Gratiot Ave, Detroit, MI 48205-1973 2017-08-11
1235532862 Lea Ann Martinico Social Worker 15000 Gratiot Ave, Detroit, MI 48205-1973 2014-09-26
1639415417 Nichole Hawk Counselor 15000 Gratiot Ave, Detroit, MI 48205-1973 2012-12-23
1760799183 Mary Diane Junglas Counselor 15000 Gratiot Ave, Detroit, MI 48205-1973 2010-09-07
1275857658 Bca of Detroit, LLC Clinic/Center 15000 Gratiot Ave, Detroit, MI 48205-1973 2010-03-15
1699926113 Bca of Detroit, LLC Clinic/Center 15000 Gratiot Ave, Detroit, MI 48205-1973 2008-10-02
1043492689 Saratoga Urgent Care PC Clinic/Center 15000 Gratiot Ave, Suite 100, Detroit, MI 48205-1973 2007-12-05
1669673745 A&h Pharmacy Services Pharmacy 15000 Gratiot Ave, Suite 140, Detroit, MI 48205-1973 2007-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518593813 Primary Healthcare Doctors LLC Home Health 13641 7e, Detroit, MI 48205 2020-03-18
1841774528 Belief Aghoghome Emadamerho Pharmacist 13641 East 7 Mile Rd, Detroit, MI 48205 2018-09-19
1770080053 Leonisha Langford Licensed Practical Nurse 16285 Eastpointe, Detroit, MI 48205 2018-04-12
1255856522 Lakina Moseley Psychologist 19601 Crusade St, Detroit, MI 48205 2017-08-08
1881124907 Shannon B Nesbitt Licensed Practical Nurse 20074 Strasburg, Detroit, MI 48205 2017-06-13
1093106155 Lakeniya Hicks Home Health Aide 11270 Kennebec St, Detroit, MI 48205 2015-02-11
1801222005 Anthony Bonner Counselor 4251 E. Mcnichols, Hamtrack, MI 48205 2013-09-19
1265722649 Vip Home Help Care LLC In Home Supportive Care 17801 Rowe St, Deroit, MI 48205 2011-04-19
1588898894 Brighten Quality Health Care Home Health 15031 Troester, Detroit, MI 48205 2009-05-14
1639372717 Stewart Reynolds Specialist 1475 E. Outer Drive, Detroit, MI 48205 2007-06-07
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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 48205

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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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