MEDICARE: DR. SHARON ANN DIMMER PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301007541	MI
2	103TC0700X	Clinical Psychologist	6301007541	MI
3	103TC2200X	Clinical Child & Adolescent Psychologist	6301007541	MI
4	103TF0000X	Family Psychologist	6301007541	MI
5	103TP2701X	Group Psychotherapy Psychologist	6301007541	MI
6	163W00000X	Registered Nurse	4704075602	MI
7	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	4704075602	MI
8	163WP0808X	Psychiatric/Mental Health Registered Nurse	4704075602	MI
9	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	4704075602	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15792000	OTHER	MI	MAGELLAN
2	680C313790	OTHER	MI	BCBS OF MI
3	039180	OTHER	MI	VALUE OPTIONS

General Provider Information

NPI Number	:	1487722815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON ANN DIMMER PSYD

Provider Business Mailing Address
First Line	:	4211 OKEMOS RD
Second Line	:	SUITE 8
City	:	OKEMOS
State	:	MI
Zip	:	48864-3287
Country	:	US
Telephone Number	:	517-337-9794
Fax Number	:	517-579-5863

Provider Business Practice Location Address
First Line	:	4211 OKEMOS RD
Second Line	:	SUITE 8
City	:	OKEMOS
State	:	MI
Zip	:	48864-3287
Country	:	US
Telephone Number	:	517-282-1191
Fax Number	:	517-579-5863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2006
Last Update Date	:	10/03/2013

Similar Medicare Providers

1295818763 — DR. DOUGLAS HOWARD RUBEN PH.D.
Practice Location Address:

4211 OKEMOS RD STE 22
OKEMOS, MI
48864-3287

Practice Phone: 517-347-0944
Practice Fax: 517-347-0944

1841448628 — A & A PSYCHOTHERAPY ASSOCIATES PC
Practice Location Address:

4211 OKEMOS ROAD , SUITE #1 A & A PSYCHOTHERAPY ASSOCIATES PC
OKEMOS, MI
48864-3287

Practice Phone: 517-349-4111
Practice Fax: 517-347-6999

1629418041 — ANDREA SUE MILLER N.P.
Practice Location Address:

4211 OKEMOS RD STE 12
OKEMOS, MI
48864-3287

Practice Phone: 517-214-9779
Practice Fax: 517-201-0607

1598374019 — JAYNAYA BARLOW
Practice Location Address:

4211 OKEMOS RD STE 18
OKEMOS, MI
48864-3287

Practice Phone: 313-444-3480
Practice Fax: 517-483-2461

1982275533 — BROCELYN L CROWLEY
Practice Location Address:

4211 OKEMOS RD STE 18
OKEMOS, MI
48864-3287

Practice Phone: 313-444-3480
Practice Fax:

1386315349 — TAREVA WATTS LLMSW
Practice Location Address:

4211 OKEMOS RD
OKEMOS, MI
48864-3287

Practice Phone: 517-803-9326
Practice Fax:

Directions to “ DR. SHARON ANN DIMMER PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.