Mariuana Paynes, MS, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361008211 Issued in MI

Practice address

30821 Barrington St
Madison Heights, MI 48071-1871

Phone

(248) 965-3916

Fax

(248) 331-9919

NPI assigned

Oct 22, 2019

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1144863200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30821 BARRINGTON ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711871",
            "telephone_number": "248-965-3916",
            "fax_number": "248-331-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30821 BARRINGTON ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711871",
            "telephone_number": "248-965-3916",
            "fax_number": "248-331-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Mason St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242231",
            "country_code": "US",
            "telephone_number": "313-561-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNES",
        "first_name": "MARIUANA",
        "credential": "MS, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361008211",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantanae Passmore
• Krupal D Patel, PHYSICAL THERAPIST
• Shreyank Kaushikbhai Patel
• Reena Pathak, D.C.
• Brittain Patton
• Gina Elizabeth Pearson, APRN, ANP-BC
• Samantha Kaur Sidhu Perdeep Singh Sidhu
• Sherria E Perry, CCHW
• Personalized Nursing Light House Inc (Male Residential)
• Jerek Bradford Petrous, D.D.S., M.S.

• Psychologist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.