MS. SHERISA RENELL MCDONALD


Address: 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458
Phone: 3133404442

MS. SHERISA RENELL MCDONALD (NPI# 1104469303) 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) 1104469303
Entity Type Individual
Full Name MS. SHERISA RENELL MCDONALD
Credential MA, TLLP
Practice Address 7800 W Outer Dr Ste 300
Detroit
MI 48235-3458
Mailing Address 2200 Berkley Ave Apt 201
Berkley
MI 48072-1763
Practice Telephone 3133404442
Mailing Telephone 3136465802
Enumeration Date 2019-10-21
Last Update Date 2019-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical 		6301018120 MI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
26105 Orchard Lake Rd Ste 207, Farmington Hills, MI 483344578 8557813974

Office Location

Street Address 7800 W OUTER DR STE 300
City DETROIT
State MI
Zip Code 48235-3458

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629233952 Sandra Duque Social Worker 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2008-07-25
1598372187 Marykelly Wallace Occupational Therapist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-09-28
1124633003 Shannon Jessica Jason Case Manager/Care Coordinator 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-09-09
1518577121 Sarah Downey Occupational Therapist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-08-07
1548878408 Andrea Lynne Schmitt Speech-Language Pathologist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-07-16
1124646310 Torey M. Mcnally Speech-Language Pathologist 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-07-14
1205468006 Jacob C Clark Occupational Therapy Assistant 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-02-10
1750912416 Janice Nicole Tillmon Social Worker 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2020-01-31
1558915744 William Newman Contractor 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2019-07-26
1386203552 Lewis Anthony Stonewall Community Health Worker 7800 W Outer Dr Ste 300, Detroit, MI 48235-3458 2019-06-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1629690565 Faseeha Arshad Gondal Student in an Organized Health Care Education/Training Program Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 2020-05-14
1902428832 Muhanad Abou Touk Student in an Organized Health Care Education/Training Program Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 2020-05-14
1780206730 Ahmad Mismar Student in an Organized Health Care Education/Training Program Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 2020-05-13
1023630589 Joao Paulo Fontana Bragagnollo Student in an Organized Health Care Education/Training Program 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 2020-05-07
1881216216 Mohammad Awad Jaber Student in an Organized Health Care Education/Training Program 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 2020-05-07
1366064818 Syeda Busmah Owais Student in an Organized Health Care Education/Training Program 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 2020-05-07
1184245680 Sushmitha Nanja Reddy Student in an Organized Health Care Education/Training Program Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 2020-05-06
1972164796 Jack Phillip Tomen Student in an Organized Health Care Education/Training Program Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 2019-06-24
1346809464 Anusha Bapatla Student in an Organized Health Care Education/Training Program 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 2019-06-12
Find all providers in zip 48235

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528675568 Andria Lynn Norman Psychologist 71 Garfield St Apt 270, Detroit, MI 48201-1907 2020-09-24
1639793011 Lori Hale Psychologist 1071 W Lantz St, Detroit, MI 48203-5100 2020-06-02
1043728819 Sami Farhat Psychologist 1025 E Forest Ave Bldg C, Detroit, MI 48207-1024 2018-01-16
1235644469 Denise Elizabeth Wallace Psychologist 7310 Woodward Ave Ste 401, Detroit, MI 48202-3165 2017-12-11
1669843850 Amyna Ftouni Psychologist 553 E Jefferson Ave, Detroit, MI 48226-4324 2015-10-13
1326424078 Wendy Pandora Cody Psychologist 11253 Somerset Ave, Detroit, MI 48224-1128 2015-08-05
1629475199 Renee Bouey Psychologist 18480 Lancashire St, Detroit, MI 48223-1325 2014-11-29
1649697343 Shelby Wilson-drummond Psychologist 70 W Alexandrine St, Detroit, MI 48201-2051 2014-03-20
1184068975 Shara L. Johnson Psychologist 19511 Greenfield Rd, Detroit, MI 48235-2016 2013-04-23
1649511015 Lindsay Yeager Carr Psychologist 2629 Lenox St, Detroit, MI 48215-2667 2013-03-11
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48235

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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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