SIERRA GILLIS (NPI# 1033728613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 6352000029 | MI | Behavioral Health & Social Service Providers |
Street Address |
15000 GRATIOT AVE |
City | DETROIT |
State | MI |
Zip Code | 48205-1973 |
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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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 |
Find all providers in zip 48205 |
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 |
---|---|---|---|---|
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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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.