Sara Ann Temple, MA, TLLP

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6362009419 Issued in MI

Practice address

4800 Grand River Ave
Detroit, MI 48208-2252

Phone

(734) 335-0568

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1346989365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W BOSTON BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061707",
            "telephone_number": "734-664-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082252",
            "telephone_number": "734-335-0568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3646 Mount Elliott St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482072311",
            "country_code": "US",
            "telephone_number": "313-626-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "MA, TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6362009419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ann Teklinsky, CNM
• Jaya Marie Telang, DO
• Cindy Temali
• Shavonne Nicole Temple Dike
• Charles Junior Temple II
• Maritza Tenbusch, FNP-C
• Joseph Scott Tencza
• Tender Care Group
• Tender Heart Assisted Living LLC
• Tender Hearts Inc

• Clinical Child & Adolescent Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.