JENNA BLACK


Address: 28328 N Skye Dr, Farmington Hills, MI 48334-5335
Phone: 5867098966

JENNA BLACK (NPI# 1407416886) 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) 1407416886
Entity Type Individual
Full Name JENNA BLACK
Credential CTRS, CBIS. ATRIC
Practice Address 28328 N Skye Dr
Farmington Hills
MI 48334-5335
Practice Telephone 5867098966
Mailing Telephone 5867098966
Enumeration Date 2019-06-18
Last Update Date 2019-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JENNA BLACK

NPI Name Taxonomy Address Enumeration
1750333951 Jenna E Black Anesthesiology 2131 S 17th St, Wilmington, NC 28401-7407 2006-05-16

Office Location

Street Address 28328 N SKYE DR
City FARMINGTON HILLS
State MI
Zip Code 48334-5335

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588264535 Kiah Bradley Behavior Technician 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 2020-10-29
1417557307 Carsen D Dresbach Behavior Technician 2777 Inster Road Suite 100, Farmington Hills, MI 48334 2020-10-29
1316560303 Amy K Pruneau LLC Psychologist 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 2020-05-25
1366089732 Vian Aljony Dental Hygienist 27273 Arden Park Cir, Farmington Hills, MI 48334 2019-12-04
1699311902 Sandra Zori Pharmacist 27800 Middlebelt Rd, Farmington Hills, MI 48334 2019-11-21
1902450471 Kianna Marie Garcia Behavior Technician 27777 Inkster Rd., Farmington Hills, MI 48334 2019-08-01
1619521176 Samantha Serra Behavior Technician 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 2019-08-01
1851945398 Kristen Butler Behavior Technician 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 2019-08-01
1104489038 Katherine Kalsow Behavioral Analyst 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 2019-04-16
1083178487 Imee Raterta Physical Therapist Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 2019-01-30
Find all providers in zip 48334

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497241004 Charlotte Maria Enoch Recreation Therapist 27991 Rollcrest Rd Apt 7, Farmington Hills, MI 48334-4063 2018-07-06
1487078895 Rebecca Prueter Recreation Therapist 38982 Plumbrook Dr, Farmington Hills, MI 48331-2973 2014-02-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861006728 Tara Ann Fedewa Recreation Therapist 915 Laurelwood Dr, Lansing, MI 48917-7725 2020-09-08
1225651714 Caroline Rose Marcon Recreation Therapist 15227 Payne Ct, Dearborn, MI 48126-3030 2020-05-19
1205469897 Megan Groat Recreation Therapist 914 Lake Dr, Oxford, MI 48371-5716 2020-02-21
1215560040 Ashley Melyn Phelps Recreation Therapist 6714 Northland Dr Ne, Rockford, MI 49341-9201 2020-02-20
1538708680 Caylie Hosey Recreation Therapist 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 2020-01-06
1205480472 Keilahna Castillo Recreation Therapist 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 2019-07-26
1134789514 Cynthia Guzi Recreation Therapist 4469 Lutz Dr, Warren, MI 48092-1750 2019-06-18
1780244160 Derenda Lefevre Recreation Therapist 3724 Noble Rd, Oxford, MI 48370-1514 2019-06-18
1225698608 Carly Jane Rhodea Recreation Therapist 6906 Severance Rd, Cass City, MI 48726-9202 2019-06-18
1649838897 Felicia M Christopher Recreation Therapist 4866 Lisa Ct, Trenton, MI 48183-5701 2019-06-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City FARMINGTON HILLS
Zip Code 48334

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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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