JILLIAN OUT


Address: 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277
Phone: 7347857700

JILLIAN OUT (NPI# 1265968895) 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) 1265968895
Entity Type Individual
Full Name JILLIAN OUT
Credential MA TLLP
Practice Address 19401 Northline Rd Bldg 5
Southgate
MI 48195-2277
Mailing Address 17501 Woodridge Dr
Brownstown
MI 48193-8626
Practice Telephone 7347857700
Enumeration Date 2017-05-02
Last Update Date 2018-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6301017339 MI Behavioral Health & Social Service Providers

Office Location

Street Address 19401 NORTHLINE RD BLDG 5
City SOUTHGATE
State MI
Zip Code 48195-2277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699011684 Rachel Zaran Speech-Language Pathologist 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2012-12-18
1942859269 Rejillia Johnston Student in an Organized Health Care Education/Training Program 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2019-09-09
1700375383 Elizabeth Burgess Counselor 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2018-05-09
1639691694 Lynda Johnson Social Worker 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2017-07-12
1215478359 Christa Campbell Case Manager/Care Coordinator 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2017-03-08
1851843916 Brittany Nicole Page Social Worker 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2016-10-25
1740665397 Kimberly Vasicek Case Manager/Care Coordinator 19401 Northline Rd Bldg 5, Southgate, MI 48195 2015-07-24
1184039224 Breana Witte Speech-Language Pathologist 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2014-06-27
1417388224 Gwendolyn Hooks Psychologist 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 2013-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206656 Destiny D Harris Social Worker 14799, Southgate, MI 48195 2020-05-13
1285102368 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 16256 Fort St, Southgate, MI 48195 2018-11-07
1003382979 Saran Charisse Watts Case Manager/Care Coordinator 31101 Allen Rd, Building 5, Southgate, MI 48195 2018-10-18
1255824025 Kiesta Janell Lindsey Social Worker 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 2018-06-07
1417473224 Suzette Michele Watson Nurse Practitioner 14319 Dix-toledo, Southgate, MI 48195 2017-08-15
1275069486 Liza Du Plessis Student in an Organized Health Care Education/Training Program 13111 Allen Road, Southgate, MI 48195 2017-05-08
1497290456 Beaumont Health Clinic/Center 15777 Northline, Southgate, MI 48195 2016-12-30
1184172876 Felicia Wilson Licensed Practical Nurse 15771 Wildemere, Southgate, MI 48195 2016-09-12
1225487978 Stacey Petrick-strickland Technician, Other 12189 Agnes, Southgate, MI 48195 2016-06-03
1205298486 Ashley Francis Hearing Instrument Specialist 18800 Eureka Rd., Southgate, MICHIGAN 48195 2016-03-25
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326436858 Carolyn Young Mcwilliams Psychologist 13101 Allen Rd, Building 4-b, Southgate, MI 48195-2216 2015-01-06
1174729370 Nancy A. Mihalik Psychologist 13101 Allen Rd, Southgate, MI 48195-2216 2007-06-25
1306069935 Karen Leigh-banker Collins Psychologist 13101 Allen Rd, Suite 100, Southgate, MI 48195-2216 2007-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912504002 Being Centered LLC Psychologist 716 Amity St, Lowell, MI 49331-1388 2020-10-02
1972115251 Transformative Counseling Services Psychologist 8965 Lenter Dr Se, Caledonia, MI 49316-7793 2020-08-19
1174147755 Jane Ann Connon Psychologist 5619 Downing St, Portage, MI 49024-9519 2020-05-30
1790305068 Kole Mason Psychologist 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 2020-04-16
1881229151 Shannon Sugarman Psychotherapy Psychologist 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 2020-03-07
1376178020 Pro-active Counseling LLC Psychologist 1410 84th St Sw, Byron Center, MI 49315-9344 2020-03-03
1609416197 Alexander Sydney Houseknecht Psychologist 337 Visser Pl Se, Grand Rapids, MI 49506-1541 2020-01-13
1801431481 Christine Williams, Ms, LLP,pllc Psychologist 190 N Main St Ste D, Plymouth, MI 48170-1236 2019-11-07
1134761398 Mackenzie Mercer Psychologist 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 2019-10-09
1568022465 Grace Yensch Psychologist 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 2019-06-13
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Competitor

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City SOUTHGATE
Zip Code 48195

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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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