DR. SHIRLEY ANN HARRIS (NPI# 1710389804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710389804 |
| Entity Type | Individual |
| Full Name | DR. SHIRLEY ANN HARRIS |
| Other Name | SHIRLEY ANN HARRIS-CARLSON |
| Credential | PSY.D. |
| Practice Address |
2700 Robert T Longway Blvd Suitec Flint MI 48503-2190 |
| Practice Telephone | 8104964955 |
| Mailing Telephone | 8104964955 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301009985 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518598929 | Shirley R Harris | Technician | 1222 Luke Station Rd, Blakely, GA 39823-6010 | 2020-02-04 |
| 1750765178 | Shirley Harris | Driver | 511 S. Dixie Street, Parma, MO 63870-0411 | 2015-07-15 |
| 1841511474 | Shirley Jeanetta Harris | Home Health Aide | 1740 Christian Cir Se, Conyers, GA 30013-5234 | 2010-06-17 |
| 1043462062 | Shirley Harris | Physical Therapy Assistant | 324 Skyridge Dr, Fairbanks, AK 99712-1205 | 2008-10-22 |
| 1013062645 | Shirley Marie Harris | Social Worker | 8600 Shore Front Pkwy Apt 2p, Rockaway Beach, NY 11693-2202 | 2007-01-24 |
| 1417027277 | Shirley Ann Harris | Internal Medicine | 3292 Mountain Dr, Suite A, Decatur, GA 30032-1102 | 2006-11-09 |
| 1659867034 | Shirley T Harris | Case Manager/Care Coordinator | 2411 Seaman St, Toledo, OH 43605-1519 | 2018-07-09 |
| 1316301328 | Shirley Ann Harris | Social Worker | 12750 Dartmouth St, Oak Park, MI 48237-1624 | 2016-04-06 |
| 1487618393 | Shirley Denise Harris | Anesthesiology | 2016 S Main St, Maryville, MO 64468-2655 | 2006-04-17 |
| Street Address |
2700 ROBERT T LONGWAY BLVD SUITEC |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619965175 | Khalid Mohammed Ahmed | Internal Medicine | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2005-10-10 |
| 1871060129 | Trisha Louise Krul | Assistant Behavior Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2018-10-25 |
| 1447726450 | Sheeba Mathews | Nurse Practitioner | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2018-10-17 |
| 1700388089 | Nichole Lynn Thornton | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503 | 2018-03-02 |
| 1013429430 | Broc Stephen Wilkison | Assistant Behavior Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-10-25 |
| 1053839910 | Rebekah Plantz | Technician/Technologist | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-08-31 |
| 1457881369 | Robert Joseph Moore | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-06-13 |
| 1982131819 | Samantha Jo Wolf | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-05-23 |
| 1952834921 | Monica Leverette | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2017-04-06 |
| 1356893366 | Shauna Franice Cooks | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| 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 |
|---|---|---|---|---|
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1114358900 | Katie Lynn Bowers | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2013-12-05 |
| 1851730329 | Teresa Marie Lukasavitz | Psychologist | 1063 Professional Dr # D4, Flint, MI 48532-3636 | 2013-06-18 |
| 1821115049 | Jodi Cavanaugh | Psychologist | 420 W. 5th Avenue, Flint, MI 48503 | 2007-03-23 |
| 1902981699 | William Dawson Daniels | Psychologist | G-4511 Miller Rd, Flint, MI 48507 | 2006-10-25 |
| 1043245533 | Jamail Psychological Clinic PC | Psychologist | 1114 Beach St, Flint, MI 48502-1407 | 2006-07-12 |
| 1700868288 | Christopher John Danko | Psychologist | 5710 Clio Rd, Flint, MI 48504-1524 | 2005-11-18 |
| 1124634639 | June Nguyen Westdal | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2020-09-20 |
| 1932714615 | Jason Mark Scimemi | Psychologist | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2020-09-10 |
| 1306490370 | Premier Thinking Mental Health Services, LLC | Psychologist | 4058 N Linden Rd Ste H, Flint, MI 48504-1381 | 2019-07-29 |
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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.