TARA LASHUNDA MAYNIE (NPI# 1841640869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841640869 |
| Entity Type | Individual |
| Full Name | TARA LASHUNDA MAYNIE |
| Practice Address |
1110 Eldon Baker Dr Newhope Flint MI 48507 |
| Mailing Address |
3522 Brown St Flint MI 48503-3292 |
| Practice Telephone | 8107423134 |
| Mailing Telephone | 8109623859 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
320600000X | MI | Behavioral Health & Social Service Providers |
| Street Address |
1110 ELDON BAKER DR NEWHOPE |
| City | FLINT |
| State | MI |
| Zip Code | 48507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033515 | Cassandra L Coney-stewart | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2006-06-18 |
| 1376142042 | Britny Madison Childers | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-10-22 |
| 1124634100 | Amber Minando | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-09-16 |
| 1215545470 | Danielle Elizabeth Hack | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-14 |
| 1649898610 | Amber Lynn Mcmillin | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-07 |
| 1255954517 | Paul Kilgore | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-21 |
| 1720600968 | Daniel Nacker | Specialist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-11 |
| 1043850100 | Martell Lee | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-01-07 |
| 1386286862 | Kelly Sue Sheppard | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-16 |
| 1437790359 | Eugene Mahon | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053864942 | Ty'teana Thomas | Psychologist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2016-07-27 |
| 1295070456 | Genesee Health System | Psychologist | 806 Tuuri Pl, Flint, MI 48503-2465 | 2012-11-29 |
| 1821316027 | Genesee County Community Mental Health | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2010-05-12 |
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| 1396363933 | Parents Zone, LLC | Psychologist | 23481 Seneca Street, Oak Park, MI 48237-2245 | 2020-07-09 |
| 1447802111 | Natalia Viera-vanarkel | Psychologist | 3017 Plainfield Ave Ne, Grand Rapids, MI 49505-3258 | 2019-07-12 |
| 1477092054 | Jeremy Ladronka | Psychologist | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-02-16 |
| 1164965877 | Amy Breckon | Psychologist | 8201 Anglers Ln, Hudsonville, MI 49426-8641 | 2016-11-29 |
| 1356746879 | Abby Grant | Psychologist | 146 W 23rd St, Holland, MI 49423-4709 | 2014-10-27 |
| 1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
| 1053735498 | Amary Lehto | Psychologist | 649 E Boston Blvd, Detroit, MI 48202-1322 | 2014-02-05 |
| 1750713210 | Janet Irene Mcalpine | Psychologist | 21650 Behrendt Ave, Warren, MI 48091-2781 | 2013-08-06 |
| 1114365277 | Angela Nicole Oshkaloff | Psychologist | 6594 Perryville Rd, Holly, MI 48442-9499 | 2013-06-11 |
| 1750641452 | Spencer Manor Living Well | Psychologist | 2219 S Term St, Burton, MI 48519-1030 | 2012-05-29 |
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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.