Individual provider Active NPI

Sandra K Johnson-Gamlin, PHD

  • Psychologist
  • Detroit, MI
National Provider Identifier
1265656516
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301006837 Issued in MI
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6301006837OtherMILICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000184 MI Practitioner - Clinical Psychologist 6406746627 Reassigns benefits to 5 organizations

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
Sollarsand Associates IncGroup PAC ID 6608911995, 10 clinicians
Evolutis LLCGroup PAC ID 5597193607, 8 clinicians
Total Life IncGroup PAC ID 8123433034, 113 clinicians

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

LicenseStateTypeSpecialty
6301006837MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince May 1, 2024 Accepting new patients
Total Life FL PA Clinical CurrentSince Sep 5, 2025 Accepting new patients
Evolutis, LLC Clinical CurrentSince Feb 10, 2021 Accepting new patients
Continuum Psychiatric Services, LLP Past Accepting new patients
Access Christian Counseling Clinical PastSince Jun 1, 2008 Accepting new patients
Clementine Counseling Past Accepting new patients
United Psychological Services Inc Clinical PastSince Feb 9, 2001 Accepting new patients
Sollars and Associates Psychologist PastSince Nov 9, 2025 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.

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

Verify at the official NPI Registry.