MS. SHANNON NICHOLE MATHISON (NPI# 1659515948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659515948 |
| Entity Type | Individual |
| Full Name | MS. SHANNON NICHOLE MATHISON |
| Credential | MS, LLP,CAADC, IMH-E |
| Practice Address |
2140 E Ellsworth Rd Ann Arbor MI 48108-2552 |
| Mailing Address |
555 Towner St Ypsilanti MI 48198-5723 |
| Practice Telephone | 7345443050 |
| Practice Fax Number | 7342223225 |
| Mailing Telephone | 7345443050 |
| Mailing Fax Number | 7345446732 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301013559 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4125 Washtenaw Ave, Ann Arbor, MI 481081003 | 7343919986 |
| Street Address |
2140 E ELLSWORTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172242 | Ellen Smith Perricci | Psychiatry & Neurology | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2006-04-10 |
| 1063012359 | Ashley Hagerman | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2020-10-27 |
| 1528624483 | Janet Rich | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-05-16 |
| 1649732355 | John Cherette | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-04-02 |
| 1396206736 | Kelsey Marie Robinson | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-03-28 |
| 1588145528 | Gina K Steffey | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-08-28 |
| 1730673005 | Robin Sanderson | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-06-19 |
| 1861983942 | Jing Zhang | Counselor | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-23 |
| 1215426218 | Ashley Marie Holsten-o'bryan | Registered Nurse | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-04 |
| 1427547843 | Laura Ganzel | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700198009 | Erin Christine Hunter-veatch | Psychologist | 500 E. Washington St., Suite 100, Ann Arbor, MI 48104 | 2010-07-02 |
| 1952326837 | University Center for The Child and Family | Psychologist | 500 E Washington St Ste 100, Ann Arbor, MI 48104-2057 | 2006-07-13 |
| 1255830485 | Jennifer Culver, Ph.d., LLC | Psychologist | 455 E Eisenhower Pkwy Ste 15, Ann Arbor, MI 48108-3321 | 2018-02-02 |
| 1679085112 | Arbor Psychology Group North Campus Pllc | Psychologist | 3001 Plymouth Rd Ste 105, Ann Arbor, MI 48105-3205 | 2017-10-24 |
| 1710403597 | Cassie Nell Ross | Psychologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-08-14 |
| 1841600103 | University of Michigan Center for The Child and Family | Psychologist | 500 E Washington St Ste 100, Ann Arbor, MI 48104-2057 | 2014-05-07 |
| 1972853570 | Susan Alison Risi | Psychologist | 1565 Eastover Pl, Ann Arbor, MI 48104-6316 | 2012-09-12 |
| 1770856221 | Nestor L Lopez-duran | Psychologist | 530 Church St Ste 1465, Ann Arbor, MI 48109-1043 | 2012-02-14 |
| 1639209695 | Lisa Marie Farmer | Psychologist | 2006 Hogback Rd, Suite A, Ann Arbor, MI 48105-9750 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184251 | Think To Thrive Psychological Services Pllc | Psychologist | 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 | 2020-11-03 |
| 1407490006 | Oakland Integrated Healthcare Network | Psychologist | 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 | 2019-11-06 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1558913160 | Anna Snyder | Psychologist | 9223 Sandhill Ct, Saline, MI 48176-9440 | 2019-07-13 |
| 1467965418 | Jeffrey William Thompson | Psychologist | 167 Leota Blvd, Waterford, MI 48327-3631 | 2017-11-13 |
| 1578074621 | Joshua Dale Brewer | Psychologist | 206 W Michigan Ave, Oscoda, MI 48750-1413 | 2017-10-17 |
| 1235655614 | Ramzi Hasson | Psychologist | 21600 Novi Rd # 800, Novi, MI 48375-5605 | 2017-08-17 |
| 1588184832 | Allison Vercellone Hayhoe | Psychologist | 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 | 2017-06-27 |
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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.