SHANNON SUGARMAN (NPI# 1316311426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316311426 |
| Entity Type | Individual |
| Full Name | SHANNON SUGARMAN |
| Other Name | SHANNON MARIE BREISACHER |
| Practice Address |
30000 Hiveley St Inkster MI 48141-1089 |
| Mailing Address |
2005 Planavon St Apt 2 Ferndale MI 48220-2908 |
| Practice Telephone | 7347217310 |
| Mailing Telephone | 2484446978 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016434 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639289002 | Shannon Sugarman | Specialist | 11975 Morris Rd, Suite 200, Alpharetta, GA 30005-4419 | 2006-08-30 |
| Street Address |
30000 HIVELEY ST |
| City | INKSTER |
| State | MI |
| Zip Code | 48141-1089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184865776 | Starfish Family Services Inc. | Community/Behavioral Health | 30000 Hiveley St, Inkster, MI 48141-1089 | 2009-03-12 |
| 1548860646 | Rebekka Anne Hale | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-10-28 |
| 1215535117 | Alexis Nicole Tillery | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-10-13 |
| 1013522937 | Michelle L. King | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-09-09 |
| 1710591326 | Grace Anne Conrad | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-09-01 |
| 1043828841 | Emily Thiel | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-07-17 |
| 1396369898 | Katherine Pfeiffer | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-06-01 |
| 1841822293 | Desiree Angelique Drake | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-02-04 |
| 1326688805 | Alyssa Selasky | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2020-01-13 |
| 1699311027 | Zachary Howard | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776968 | Hollywood Pharmacy Group LLP | Pharmacy | 26831 Michigan Ave, Inkster, MI 48141 | 2018-10-17 |
| 1851872279 | Gillian Margaret Clifford | Nurse Practitioner | Western Wayne Family Health Centers, 2700 Hamlin Blvd., Inkster, MI 48141 | 2018-08-23 |
| 1053805119 | Audrey K Logan | Technician/Technologist | 1403 Inkster Road, Inkster, MI 48141 | 2018-06-21 |
| 1326555830 | Catherine Marie Wahl | Student in an Organized Health Care Education/Training Program | 2700 Hamlin Drive, Inkster, MI 48141 | 2018-01-05 |
| 1659899623 | Martin Unachukwu | Licensed Practical Nurse | 3650 Farnum St., Inkster, MI 48141 | 2017-08-30 |
| 1376063669 | Orlando Robinson | In Home Supportive Care | 26144 Princeton, Inkster, MI 48141 | 2017-06-27 |
| 1518402973 | Jane Stanton | Student in an Organized Health Care Education/Training Program | 30000 Hiveley, Inkster, MI 48141 | 2016-12-21 |
| 1730538646 | Dawn Rucker | Technician, Other | 29970 Oakwood St., Inkster, MI 48141 | 2016-06-10 |
| 1861840571 | Jacqueline Nicole Kisse | Social Worker | 30000 Hiveley Road, Inkster, MI 48141 | 2016-06-03 |
| 1598134652 | Missionary Daughters of The Eternal Father | Home Health | 219 Cherry Hill Trail, Apt: 202, Inkster, MI 48141 | 2015-09-18 |
| Find all providers in zip 48141 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON SUGARMAN.
| 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.