JILLIAN OUT (NPI# 1265968895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301017339 | MI | Behavioral Health & Social Service Providers |
Street Address |
19401 NORTHLINE RD BLDG 5 |
City | SOUTHGATE |
State | MI |
Zip Code | 48195-2277 |
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 |
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 |
Find all providers in zip 48195 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JILLIAN OUT.
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.