MR. JESSE SOULIA (NPI# 1942326087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942326087 |
| Entity Type | Individual |
| Full Name | MR. JESSE SOULIA |
| Credential | PSY.D |
| Practice Address |
1309 S Linden Rd Ste D Flint MI 48532-3443 |
| Practice Telephone | 8107326111 |
| Practice Fax Number | 8107326185 |
| Mailing Telephone | 8107326111 |
| Mailing Fax Number | 8107326185 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006715 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MAGELLAN | 266250000 | 01 |
| MI | BLUE CROSS MICHIGAN | 680B546150 | 01 |
| Street Address |
1309 S LINDEN RD STE D |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
| 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 |
| 1487667846 | Susan Brown Vore | Psychologist | 3095 S Dye Rd, Suite A, Flint, MI 48507-1001 | 2006-08-15 |
| 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.