SHANNON FROESE (NPI# 1417380007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417380007 |
| Entity Type | Individual |
| Full Name | SHANNON FROESE |
| Credential | PH.D. |
| Practice Address |
4705 Towne Centre Rd Medical Arts I, Suite 304 Saginaw MI 48604-2818 |
| Practice Telephone | 9899215100 |
| Mailing Telephone | 9899215100 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 840 | WV | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 6301014080 | MI | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
840 | WV | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
6301014080 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4705 TOWNE CENTRE RD MEDICAL ARTS I, SUITE 304 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737229 | William David Macinnes | Clinical Neuropsychologist | 4705 Towne Centre Rd, Ste 304, Saginaw, MI 48604-2821 | 2005-08-10 |
| 1902283955 | Zubeda S Khan Md Pllc | Family Medicine | 4705 Towne Centre Rd, Suite 204, Saginaw, MI 48604-2818 | 2015-04-29 |
| 1295123586 | Saginaw Horizon Physical Therapy and Rehabilitation, Pllc | Clinic/Center | 4705 Towne Centre Rd, Suite 101, Saginaw, MI 48604-2818 | 2015-01-08 |
| 1649608993 | Rama C Mulpuri Md Pllc | Internal Medicine | 4705 Towne Centre Rd, 203, Saginaw, MI 48604-2818 | 2013-10-24 |
| 1053682633 | Srikanth Peachera | Physical Therapist | 4705 Towne Centre Rd, Ste 101, Saginaw, MI 48604 | 2012-01-13 |
| 1265613830 | Rama Cherukuri Mulpuri Md | Internal Medicine | 4705 Towne Centre Rd, Suite 203, Saginaw, MI 48604-2819 | 2007-11-23 |
| 1841409596 | Prathima Peachera | Physical Therapist | 4705 Towne Centre Rd, Ste 101, Saginaw, MI 48604 | 2007-05-21 |
| 1760515803 | Sanjeev Prakash | Internal Medicine | 4705 Towne Centre Rd, Ste 303, Saginaw, MI 48604-2818 | 2007-03-14 |
| 1740330414 | Nikolai Kinachtchouk,m.d. & Lioudmila Kinachtchouk,m.d. P.l.c. | Internal Medicine | 4705 Towne Centre Rd, Ste 102, Saginaw, MI 48604-2818 | 2007-01-12 |
| 1831152446 | David Brian O'donnell | Specialist | 4705 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2818 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982916417 | Robert B. Miller | Psychologist | 4905 Berl Dr Ste 3, Saginaw, MI 48604-2801 | 2010-07-13 |
| 1740460344 | Martha Ann Hill | Psychologist | 1111 N 29th St, Saginaw, MI 48601 | 2007-11-12 |
| 1316134810 | Patricia Jane Steding | Psychologist | 2100 Adams Blvd, Saginaw, MI 48602 | 2007-09-28 |
| 1922299767 | Shelli K Reiss-thomas | Psychologist | 3215 Hallmark Ct, Saginaw, MI 48603-2109 | 2007-08-07 |
| 1720166424 | Daniel Miller | Psychologist | 3564 Carrollton Rd, Saginaw, MI 48603-3944 | 2006-11-01 |
| 1407405871 | Rachel June Detrie | Psychologist | 2100 Hemmeter Rd, Saginaw, MI 48603-3944 | 2019-09-09 |
| 1821563537 | Andrea Rasdale | Psychologist | 1500 Weiss St, Saginaw, MI 48602-5251 | 2018-10-09 |
| 1245762509 | Rebecca Hampton | Psychologist | 3201 Hallmark Ct, Saginaw, MI 48603-2109 | 2017-03-28 |
| 1750826814 | David Breyer | Psychologist | 4855 Berl Dr, Saginaw, MI 48604-2832 | 2016-12-28 |
| 1770732059 | Kathleen Bridget Mcfarland | Psychologist | 500 Hancock St, Saginaw, MI 48602-4224 | 2008-09-11 |
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| 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.