Sharon Ruth Nassau, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007929 Issued in MI

Practice address

1290 S Graham Rd
Flint, MI 48532-3535

Phone

(810) 720-1776

Fax

(810) 733-1299

NPI assigned

Jul 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peyton and Davenport, IncGroup PAC ID 0648312421, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Peyton & Davenport, Inc

  • Psychologist
  • Clarkston, MI
  • NPI 1518291806
  Medicare reassignment Care Compare group
• Genesys Practice Partners, Inc.

  • Adult Mental Health Clinic/Center
  • Grand Blanc, MI
  • NPI 1841206281
  NPD (past)
• Genesys Practice Partners, Inc.

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1962423186
  NPD (past)

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185667200000",
    "number": "1861682577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 S GRAHAM RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323535",
            "telephone_number": "810-720-1776",
            "fax_number": "810-733-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S GRAHAM RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323535",
            "telephone_number": "810-720-1776",
            "fax_number": "810-733-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAU",
        "first_name": "SHARON",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-29",
        "last_updated": "2007-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301007929",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alexander Nash
• Michael Nasif, RPH
• Nasir Ahmad MD PC
• Talal Nasir, MD
• Wasim Nasir, MD
• National Seating & Mobility, Inc.
• National Vision, Inc. (Eyeglass World)
• Gerald Dean Natzke Jr., DO
• Alexander Naum
• Lauren Navarre, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.