MR. SHAWN MICHEAL FLAHARTY (NPI# 1659540300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659540300 |
Entity Type | Individual |
Full Name | MR. SHAWN MICHEAL FLAHARTY |
Credential | LPC |
Practice Address |
4646 John R St 11mh Detroit MI 48201-1916 |
Practice Telephone | 3135761000 |
Practice Fax Number | 3135761091 |
Mailing Telephone | 3135761000 |
Mailing Fax Number | 3135761091 |
Enumeration Date | 2008-02-27 |
Last Update Date | 2008-02-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401008144 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | STATE LICENSURE (LPC) | 6401008144 | 01 |
Street Address |
4646 JOHN R ST 11MH |
City | DETROIT |
State | MI |
Zip Code | 48201-1916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356344121 | Christopher Emil Hermann | Nurse Practitioner | 4646 John R St, Detroit, MI 48201-1916 | 2005-05-24 |
1881293892 | Derrick Williams | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-10-21 |
1598371544 | Sonia Govil | Dietitian, Registered | 4646 John R St, Detroit, MI 48201-1916 | 2020-09-16 |
1740893569 | Nicholas Edward Peters | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-31 |
1710597455 | Amber Michelle Young | Social Worker | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-07 |
1104434471 | Zeinab H Moussa | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-22 |
1235747346 | Samantha Beth Lewis | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-15 |
1477171189 | Rima Mohammad Fardos | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-09 |
1992323869 | Sarah F Waqhar | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-08 |
1619594181 | Mellisa Ann Boyle | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
Find all providers in zip 48201 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285244731 | Better Days Counseling, Pllc | Counselor | 13501 Schaefer Hwy, Detroit, MI 48227-3538 | 2020-08-08 |
1174144281 | Jasmine Noble | Counselor | 1535 Franklin St Apt 201, Detroit, MI 48207-4056 | 2020-04-29 |
1306473145 | Julie Weatherhead | Counselor | 1624 Estates Dr, Detroit, MI 48206-2814 | 2020-03-23 |
1972134591 | Tanya Bankston | Counselor | 4221 Moran St, Detroit, MI 48207-1705 | 2020-02-01 |
1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
1922561059 | Odis Bellinger | Counselor | 440 Burroughs St Ste 149, Detroit, MI 48202-3429 | 2019-04-06 |
1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
1942764329 | Crystal Jean Oliver | Counselor | 13770 Mecca St., Detroit, MI 48227-3025 | 2019-01-30 |
1922577246 | Sheila Marie Cheeks | Counselor | 1600 Pingree St, Detroit, MI 48206-2436 | 2018-11-15 |
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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.