CLARISSA SANTANA (NPI# 1881062412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881062412 |
| Entity Type | Individual |
| Full Name | CLARISSA SANTANA |
| Practice Address |
3231 S Gulley Rd Suite E Dearborn MI 48124-4407 |
| Mailing Address |
136 William St Springfield MA 01105-2324 |
| Practice Telephone | 3132782327 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| N | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3231 S GULLEY RD SUITE E |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841623204 | Madeline J Tousley | Behavioral Analyst | 3231 S Gulley Rd, Suite E, Dearborn, MI 48124-4407 | 2013-08-20 |
| 1912532037 | Meghan Bresser | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2020-03-09 |
| 1275183360 | Maggie Emma Kubik | Behavior Technician | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-09-19 |
| 1427608520 | Ahmian Weaver | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-09-19 |
| 1922654896 | Gulenar Al-hakimi | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-08-15 |
| 1144875782 | Stella C Emelogu | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-08-08 |
| 1124671003 | Natalie Lynn Newburn | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-07-19 |
| 1184276891 | Brittnie Eileen Clapper | Behavior Technician | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-07-12 |
| 1427600444 | Makenzie Lyn Romo | Technician, Health Information | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-07-10 |
| 1730731852 | Ariel Wilson | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4405 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831558659 | Theresa Ward | Specialist/Technologist, Other | 3231 S Gulley Rd, Suite E, Dearborn, MI 48124-4407 | 2016-02-22 |
| 1003275835 | Duaa Al-khafaji | Specialist/Technologist, Other | 3231 S Gulley Rd, Suite E, Dearborn, MI 48124-4407 | 2016-02-22 |
| 1376949891 | Althea Talbert | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-11-11 |
| 1831595354 | Lydia Perry | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-11-11 |
| 1659777324 | Ahmed Alroubi | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-11-07 |
| 1376949024 | Kinyatta Walls | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-11-07 |
| 1962808824 | Derrick Porter | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-11-05 |
| 1902200983 | Sahar Fawaz | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-10-20 |
| 1528462181 | Shanice Brown | Specialist/Technologist, Other | 3101 S Gulley Rd, Dearborn, MI 48124-4406 | 2014-10-10 |
| 1033513601 | Joumana Amine | Specialist/Technologist, Other | 3101 S Gulley Rd, Dearborn, MI 48124-4406 | 2014-10-10 |
| Find all providers in DEARBORN | ||||
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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.