Renaissance Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801064525 Issued in MI

Legal business name

RENAISSANCE HEALTH SERVICES

Practice address

2157 Orchard Lake Rd
Sylvan Lake, MI 48320-1749

Phone

(248) 981-7138

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Jamali, LMSWNPI 1992170419

Title

Social Worker

Phone

(248) 842-5050

Specialties & licenses 1

Addresses

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.

• Sharon Jane Jamali, L.M.S.W.

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1992170419
  Authorized official Same address or phone

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1457802225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 PARK MNR S",
            "address_2": "APT. 5306",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483164912",
            "telephone_number": "248-842-5050",
            "fax_number": "866-539-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201749",
            "telephone_number": "248-981-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "JAMALI",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "248-842-5050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801064525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Family Medicine PLLC (Michigan Family Medicine)
• Michigan Family Medicine, PLLC
• Michigan Family Medicine, PLLC
• Kendra E Moss
• Ronald Charles Ogusky, PH.D.
• Kirti Prakash Sanghvi, M.D.
• Prakash N Sanghvi, M.D.
• Self Care Medical Equipment Inc. (Self-Care Medical Equipment)
• Sylvan Lake Family Practice PLC
• The Path to Wholeness LLC

• Mental Health Counselor in Sylvan Lake, MI
• Providers in Sylvan Lake, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.