Patchwork Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATCHWORK PSYCHOTHERAPY LLC

Practice address

870 S 1St St Apt 4
Ann Arbor, MI 48103-5447

Phone

(734) 800-1961

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

Vitalis ImNPI 1003402207

Title

Owner

Phone

(734) 800-1961

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.

• Vitalis Im

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1003402207
  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1003703661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S 1ST ST APT 4",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035447",
            "telephone_number": "734-800-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHWORK PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "VITALIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-800-1961"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brynne Pass
• Peter P Passamani, MD
• Jenna Patak
• Zemplen Pataki, MD, PHD
• Judith Patania
• Joshua David Pate, DPT
• Akshar Patel, MD
• Bonnie Priti Patel, D.D.S.
• Dhawal Patel, RPH
• Dipak R Patel, M.D.

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.