MRS. KELLI LYNN SHAHEEN


Address: 5701 Bow Pointe Dr Ste 380, Clarkston, MI 48346-5406
Phone: 2482416514

MRS. KELLI LYNN SHAHEEN (NPI# 1447559513) 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) 1447559513
Entity Type Individual
Full Name MRS. KELLI LYNN SHAHEEN
Credential MA TLLP
Practice Address 5701 Bow Pointe Dr Ste 380
Clarkston
MI 48346-5406
Practice Telephone 2482416514
Mailing Telephone 2482416514
Enumeration Date 2011-03-15
Last Update Date 2011-03-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6301014570 MI Behavioral Health & Social Service Providers

Office Location

Street Address 5701 BOW POINTE DR STE 380
City CLARKSTON
State MI
Zip Code 48346-5406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497399745 Therapy Services of Clarkston LLC Clinic/Center 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 2019-10-30
1679041545 Shiba Lashon Nixon Registered Nurse New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 2018-11-08
1972079655 Stephanie Gaumer Social Worker 6825 Dixie Hwy Ste E, Clarkston, MI 48346 2018-10-19
1912496324 Regency At Independence Township, LLC Skilled Nursing Facility 6211 Stonewood Drive, Clarkston, MI 48346 2018-05-02
1558880591 3rd Circle Inc. Home Health Aide 39 South Main Street, Ste 2, Clarkston, MI 48346 2017-09-11
1376083246 Rosemarie Villarreal Social Worker 4480 Elmdale Ave, Clarkston, MI 48346 2017-02-27
1932566940 Syncere Hearts Home Healthcare, LLC Home Health 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 2016-01-21
1649635087 Coddaire & Associates, Inc. Community/Behavioral Health 6445 Citation Drive, Suite H, Clarkston, MI 48346 2015-12-30
1013386358 Victoria Urikh-garcia Technician, Other 6510 Town Center Dr Ste E, Clarkston, MI 48346 2015-09-16
1194090993 Stefanie Pavloski Counselor 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 2012-03-13
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780146720 Jessica Leigh Teeples Psychologist 6060 Dixie Hwy Ste H, Clarkston, MI 48346-3476 2019-04-01
1548569049 Adam R Pasciak Psychologist 3604 Clarkston Rd, Clarkston, MI 48348-5215 2011-03-23
1336269158 Richard W Brozovich Psychologist 7127 Perry Lake Rd, Clarkston, MI 48346-1655 2007-03-29
1477690576 Jarod John Fitzgerald Psychologist 629 6th St, Clarkston, WA 99403-2010 2007-01-30
1962412601 Marilyn Cecelia Kimble Psychologist 1138 Melrose Dr, Clarkston, GA 30021-2837 2006-08-08
1578587374 M. Lynn Chambers Psychologist 3918 S Ortonville Rd, Suite E, Clarkston, MI 48348-1256 2006-07-26
1376524835 Joseph Scott Allen Jr. Psychologist 7736 Ortonville Rd Ste A, Clarkston, MI 48348-4483 2005-11-10
1124633755 Gianna Petz Psychologist 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 2020-09-10
1881225092 Nikita Bhatnagar Psychologist 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 2020-01-28
1194215970 Ava Elizabeth Selke Psychologist 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 2018-05-16
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Competitor

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City CLARKSTON
Zip Code 48346

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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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