MS. KRISTA MARIE CLANCY (NPI# 1992039804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992039804 |
| Entity Type | Individual |
| Full Name | MS. KRISTA MARIE CLANCY |
| Practice Address |
41935 12 Mile Rd. Chrildren's Hospital of Mi Autism Center Novi MI 48377 |
| Mailing Address |
4201 St. Antoine Uhc 6f Mailbox# 226 University Pediatricians Detroit MI 48201 |
| Practice Telephone | 2483056211 |
| Mailing Telephone | 3139665051 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2014-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301011361 | MI | Behavioral Health & Social Service Providers |
| Street Address |
41935 12 MILE RD. CHRILDREN'S HOSPITAL OF MI AUTISM CENTER |
| City | NOVI |
| State | MI |
| Zip Code | 48377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053837534 | Ana-mercedes Flores | Psychologist | 27780 Novi Rd Ste 107, Novi, MI 48377-3427 | 2017-08-16 |
| 1497132047 | Francesca Pernice-duca | Psychologist | 24748 Highlands Dr, Novi, MI 48375-2624 | 2015-05-04 |
| 1669790341 | Kim D. Kemske, Psy.d., L.p., P.C. | Psychologist | 24505 Meadowbrook Rd, Novi, MI 48375-2845 | 2010-05-05 |
| 1114252939 | Lauren Radtke- Rounds | Psychologist | 21149 Dundee Dr, Novi, MI 48375-4743 | 2009-10-13 |
| 1316115421 | Judy M Sobczak Phd PC | Psychologist | 28175 Haggerty Road, Suite 101, Novi, MI 48377-2903 | 2008-02-12 |
| 1487854576 | Fredric Sandler | Psychologist | 23383 Winnsborough, Novi, MI 48375-4007 | 2007-07-18 |
| 1134321110 | Lisa Marie Lewandowski-romps | Psychologist | 23965 Novi Rd Ste 110, Novi, MI 48375-3232 | 2007-06-03 |
| 1831210863 | Sandra Landau | Psychologist | 28175 Haggerty Rd Ste 129, Novi, MI 48377-2903 | 2007-04-03 |
| 1497893937 | Kimberly A White | Psychologist | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2007-02-04 |
| 1598823379 | Donna Marie D. Meszaros | Psychologist | 40000 Grand River Ave., Suite 306, Novi, MI 48375-2137 | 2006-12-05 |
| Find all providers in NOVI | ||||
Please comment or provide details below to improve the information on MS. KRISTA MARIE CLANCY.
| 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.