Active NPI
Susan Michalowski LLC
- Psychiatric/Mental Health Nurse Practitioner
- Okemos, MI
National Provider Identifier
1104337971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704114720
- Legal business name
- SUSAN MICHALOWSKI LLC
- Practice address
- 4084 Okemos Rd
Okemos, MI 48864-3258 - Phone
- (517) 347-4848
- NPI assigned
- Oct 19, 2017
- Last updated
- Jul 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Michalowski
- Title
- Nurse Practitioner
- Phone
- (517) 347-4848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704114720 | MI | Primary |
Addresses
Primary practice location
4084 Okemos Rd
Okemos, MI 48864-3258
Mailing address
4084 Okemos Rd Ste a
Okemos, MI 48864-3258
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Okemos, MI
- NPI 1588764260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1104337971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4084 OKEMOS RD STE A",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4084 OKEMOS RD",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643258",
"telephone_number": "517-347-4848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN MICHALOWSKI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-19",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A",
"authorized_official_last_name": "MICHALOWSKI",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "517-347-4848"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704114720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.