SHANNON L DENNIS (NPI# 1831387257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831387257 |
| Entity Type | Individual |
| Full Name | SHANNON L DENNIS |
| Other Name | SHANNON L MCINTOSH |
| Credential | PHD |
| Practice Address |
2700 Robert T Longway Blvd Suite I Flint MI 48503-2190 |
| Mailing Address |
1085 S Linden Rd Suite 150 Flint MI 48532-3421 |
| Practice Telephone | 8102391975 |
| Practice Fax Number | 8102391281 |
| Mailing Telephone | 8107326092 |
| Mailing Fax Number | 8107322232 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2010-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301013086 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528115128 | Shannon Louise Dennis | Social Worker | 14307 Terisu Ln, Austin, TX 78728-6884 | 2007-01-04 |
| Street Address |
2700 ROBERT T LONGWAY BLVD SUITE I |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031680 | Suzanne R Jamail Ph D | Psychologist | 5524 S Saginaw Rd, Flint, MI 48507-4421 | 2015-04-24 |
| 1215343793 | Tamara Lynn Mckay | Psychologist | 1428 W Court St, Flint, MI 48503 | 2014-07-07 |
| 1912324484 | Jessica Moore | Psychologist | 1286 S Linden Rd Ste B, Flint, MI 48532-3457 | 2014-03-24 |
| 1902129943 | Allen Reginald Bellamy | Psychologist | 400 N Saginaw St Ste 201, Flint, MI 48502-2045 | 2010-03-04 |
| 1891973053 | Richard Stuart Mach | Psychologist | 814 S Vernon Ave, Flint, MI 48503-2254 | 2008-02-09 |
| 1942326087 | Jesse Soulia | Psychologist | 1309 S Linden Rd Ste D, Flint, MI 48532-3443 | 2007-03-21 |
| 1447383328 | Ronald Emile Silverman | Psychologist | 1213 Beard Street, Flint, MI 48503-5372 | 2007-03-13 |
| 1376689968 | Robert Bottinelli Phd PC | Psychologist | 2187 S Dye Rd, Flint, MI 48532 | 2007-01-30 |
| 1386744191 | Nicole Jeanette Franklin | Psychologist | G-3200 Beecher Road, Suite Mbi, Flint, MI 48532-3685 | 2006-09-22 |
| 1679675714 | Victorean L Cox | Psychologist | 1172 Robert T Longway Blvd, Flint, MI 48503-1851 | 2006-09-01 |
| Find all providers in FLINT | ||||
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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.