Active NPI
Sandra K Johnson-Gamlin, PHD
- Psychologist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301006837
- Practice address
- 1001 Woodward Ave FL 5
Detroit, MI 48226 - Phone
- (313) 739-7836
- Fax
- (313) 557-1662
- NPI assigned
- Apr 11, 2007
- Last updated
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301006837 | MI | Primary |
Addresses
Primary practice location
1001 Woodward Ave FL 5
Detroit, MI 48226
Mailing address
8200 E Jefferson Ave Apt 1910
Detroit, MI 48214-3932
Phone (248) 766-3209
Other practice location 1
6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4515
Phone (248) 626-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6301006837 | Other | MI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1777 Axtell Dr
Suite 100
Troy, MI 48084-4400
Phone (248) 613-5377
2222 W Grand River Ave
Suite a
Okemos, MI 48864-1604
Phone (877) 219-8726
3200 Greenfield Rd
Suite 300
Dearborn, MI 48120-1805
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006837 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Clinical | Current | Accepting new patients |
| Evolutis, LLC | Clinical | Current | Accepting new patients |
| Continuum Psychiatric Services, LLP | Past | Accepting new patients | |
| Access Christian Counseling | Clinical | Past | Accepting new patients |
| Clementine Counseling | Past | Accepting new patients | |
| United Psychological Services Inc | Clinical | Past | Accepting new patients |
| Sollars and Associates | Psychologist | Past | Accepting new patients |
| Carol a. Roekle, M.D., P.C. | Past | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Sterling Heights, MI
- NPI 1538482187
-
- Clinical Psychologist
- Detroit, MI
- NPI 1306497318
-
dba Total Life
- Integrative Medicine Physician
- Potomac, MD
- NPI 1447057286
Clinical, MI
-
- Clinical Psychologist
- Southfield, MI
- NPI 1154470755
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington Hills, MI
- NPI 1659419257
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shelby TWP, MI
- NPI 1265360739
-
- Geriatric Psychiatry Physician
- Livonia, MI
- NPI 1023288669
-
- Clinical Neuropsychologist
- Shelby TWP, MI
- NPI 1407947658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1265656516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 E JEFFERSON AVE APT 1910",
"city": "DETROIT",
"state": "MI",
"postal_code": "482143932",
"telephone_number": "248-766-3209",
"fax_number": "313-557-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WOODWARD AVE FL 5",
"city": "DETROIT",
"state": "MI",
"postal_code": "48226",
"telephone_number": "313-739-7836",
"fax_number": "313-557-1662"
}
],
"practiceLocations": [
{
"address_1": "6960 Orchard Lake Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "West Bloomfield",
"state": "MI",
"postal_code": "483224515",
"country_code": "US",
"telephone_number": "248-626-1500",
"fax_number": "248-626-1551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON-GAMLIN",
"first_name": "SANDRA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301006837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6301006837",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.