Christina Sharon Dhanam Reuben

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851116869APP23 Issued in MI

Practice address

1010 E. West Maple Road, Suite 100
Walled Lake, MI 48390

Phone

(248) 313-2900

NPI assigned

Aug 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Easterseals Morc Health Care, Inc.

  • Community/Behavioral Health Agency
  • Walled Lake, MI
  • NPI 1851686620
  NPD
• Easterseals Morc Health Care, Inc.

  • Psychiatry Physician
  • Auburn Hills, MI
  • NPI 1376526616
  NPD (past)

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1346026812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E. WEST MAPLE ROAD, SUITE 100",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E. WEST MAPLE ROAD, SUITE 100",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-313-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUBEN",
        "first_name": "CHRISTINA",
        "middle_name": "SHARON DHANAM",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851116869APP23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pontiac Trail Pharmacy Inc
• James Cleary Powers
• Pristine Medical LLC
• Professional OBGYN PC
• Amy Kathleen Pruneau, LLP
• Rick J Deroven DDS PC
• Ryan P Rivamonte, DDS
• Regina Elizabeth Rizk, MD
• Rostker Recreational Therapy Services LLC
• Gregory Mark Rostker, CTRS

• Social Worker in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.