Shelby Wilson-Drummond, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017073 Issued in MI

Practice address

70 W Alexandrine St
Detroit, MI 48201-2051

Phone

(313) 831-5535

NPI assigned

Mar 20, 2014

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

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.

• The Children'S Center of Wayne Co., Inc.

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1528145844
  NPD (past)

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1649697343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012051",
            "telephone_number": "313-831-5535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22601 Allen Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481832273",
            "country_code": "US",
            "telephone_number": "313-246-2155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3960 Patient Care Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114276",
            "country_code": "US",
            "telephone_number": "517-887-9801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-DRUMMOND",
        "first_name": "SHELBY",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Alan Wilmot
• Benjamin Wils, MD, MS
• Wilson Assisted Transportation Inc.
• Wilson Transportation Services
• Sunny E Wilson-Bey
• Melanie Wilson-Houge, MD
• Alfred Wilson
• Annesha Wilson
• Arielle Rochell Wilson
• Bradley Russell Wilson, FNP

• Clinical Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.