Judy Jaijaetawakwe Sina, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301011292 Issued in MI

Practice address

5786 Lake Dr
Haslett, MI 48840-8436

Phone

(517) 862-1267

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Tawa Sina Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1174715577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5786 LAKE DR",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408436",
            "telephone_number": "517-862-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5786 LAKE DR",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408436",
            "telephone_number": "517-862-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINA",
        "first_name": "JUDY",
        "middle_name": "JAIJAETAWAKWE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301011292",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6301011292",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MI",
            "license": "6301011292",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301011292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWA",
            "last_name": "SINA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nancy Jean Shannon, MD, PHD
• Janet Sharp
• Jodie Smith, LLPC
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• Speech Therapy Associates, Inc.
• Sarah Sproull, DNP, FNP-BC
• Harriet Anne Squier, MD MA

• Counseling Psychologist in Haslett, MI
• Providers in Haslett, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.