SANDRA LYNESS III (NPI# 1053497636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053497636 |
| Entity Type | Individual |
| Full Name | SANDRA LYNESS III |
| Practice Address |
4252 Stoneleigh Rd Bloomfield MI 48302-2022 |
| Practice Telephone | 2486450299 |
| Mailing Telephone | 2486450299 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301000746 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4252 STONELEIGH RD |
| City | BLOOMFIELD |
| State | MI |
| Zip Code | 48302-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1154966042 | Lori Ann Magda | Psychologist | 2 Broad St Ste 7, Bloomfield, NJ 07003-2549 | 2019-11-14 |
| 1205127206 | Dawna Renee Mckinley | Psychologist | 35 Road 7585, Bloomfield, NM 87413-4936 | 2011-04-25 |
| 1902057821 | Patricia A. Bradley | Psychologist | 185 Broad Street, Bloomfield, NJ 07003 | 2008-10-09 |
| 1598950065 | James B Mathews | Psychologist | 3 Northcliff Dr, Bloomfield, CT 06002-1207 | 2007-09-07 |
| 1396875696 | Bernadette T Scolamiero | Psychologist | 40 Conger St, Ste 103b, Bloomfield, NJ 07003-3340 | 2007-03-06 |
| 1063593499 | Ben Lanpher | Psychologist | 500 South Prairie, Bloomfield, MO 63825-0500 | 2006-10-19 |
| 1699104836 | Dawn M Mcdonald | Psychologist | 11 New St, Bloomfield, NJ 07003-3603 | 2013-11-07 |
| 1932383916 | Christine M Demaio | Psychologist | 800 Cottage Grove Rd, Suite 504, Bloomfield, CT 06002-3064 | 2007-12-26 |
| 1144327065 | Wilbur Joseph Nelson Jr. | Psychologist | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2006-09-20 |
| 1265548895 | Cheryl Ellis | Psychologist | 11 Mountain Ave, Suite 204, Bloomfield, CT 06002-2343 | 2006-08-23 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on SANDRA LYNESS III.
| 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.