Phyllis M. Florian, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016014 Issued in MI

Practice address

1409 Cherokee St
Kalamazoo, MI 49006-2015

Phone

(269) 352-7922

NPI assigned

Apr 26, 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

Other identifiers 2

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prospicare PLLC

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1972041648
  Medicare reassignment NPD
• Joy Unlimited Counseling Center, PLC

  • Clinical Social Worker
  • Portage, MI
  • NPI 1164925269
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1023238623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CHEROKEE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062015",
            "telephone_number": "269-352-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CHEROKEE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062015",
            "telephone_number": "269-352-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIAN",
        "first_name": "PHYLLIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORAL LICENSE IN PSYCHOLOGY",
            "identifier": "6301016014",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE DEPT. OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "6301012839",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Fleuren, M.D.
• Jessica Fleury
• Sara Fleury
• David Florea II, A.T.C.
• Priscilla Flores
• Emily Dawn Flory, MA, LPC, CAADC
• Thomas E. Flynn, M.D.
• FMS Kalamazoo, LLC
• Focus First Chiropractic
• Focused Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.