Active NPI
Shasha Kleinsorge, PH.D.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1417602491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SHASHA KLEINSORGE, PH.D.
- Practice address
- 5340 Plymouth Rd Ste 208
Ann Arbor, MI 48105-9341 - Phone
- (734) 834-5777
- NPI assigned
- Feb 17, 2022
- Last updated
- Feb 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shasha Kleinsorge, PH.D.
- Title
- Licensed Clinical Psychologist
- Phone
- (734) 834-5777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
5340 Plymouth Rd Ste 208
Ann Arbor, MI 48105-9341
Mailing address
3400 Burbank Dr
Ann Arbor, MI 48105-1594
Phone (734) 834-5777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Ann Arbor, MI
- NPI 1457546806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1417602491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 BURBANK DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051594",
"telephone_number": "734-834-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 PLYMOUTH RD STE 208",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059341",
"telephone_number": "734-834-5777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHASHA KLEINSORGE, PH.D.",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "KLEINSORGE",
"authorized_official_first_name": "SHASHA",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "734-834-5777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.