NPIMap

Organization Active NPI

Microcosm, LLC

  • Adult Mental Health Clinic/Center
  • Ypsilanti, MI
National Provider Identifier
1033980461
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MICROCOSM, LLC
Practice address
203 N Washington St Unit 1
Ypsilanti, MI 48197-2519
Phone
(231) 912-1131
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Ayyur Sutherland, LMSW
Title
Therapist/Founder
Phone
(231) 912-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

203 N Washington St Unit 1
Ypsilanti, MI 48197-2519

Mailing address

203 N Washington St Unit 1
Ypsilanti, MI 48197-2519
Phone (231) 912-1131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1033980461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N WASHINGTON ST UNIT 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972519",
            "telephone_number": "231-912-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N WASHINGTON ST UNIT 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972519",
            "telephone_number": "231-912-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROCOSM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "AYYUR",
        "authorized_official_title_or_position": "THERAPIST/FOUNDER",
        "authorized_official_telephone_number": "231-912-1131",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.