Active NPI
Carol Diane Psaila
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1144769050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801077434
- Legal business name
- CAROL DIANE PSAILA
- Practice address
- 3830 Packard St Ste 250
Ann Arbor, MI 48108-2273 - Phone
- (734) 358-3810
- NPI assigned
- Feb 13, 2017
- 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
- Carol D Psaila, LMSW
- Title
- LMSW
- Phone
- (734) 358-3810
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801077434 | MI | Primary |
Addresses
Primary practice location
3830 Packard St Ste 250
Ann Arbor, MI 48108-2273
Mailing address
7618 Bay Tree Dr
Ypsilanti, MI 48197-9572
Phone (734) 358-3810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3820 Packard St
Ste 160
Ann Arbor, MI 48108
Phone (734) 358-3810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1356462360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486944000000",
"number": "1144769050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7618 BAY TREE DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979572",
"telephone_number": "734-358-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 PACKARD ST STE 250",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082273",
"telephone_number": "734-358-3810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL DIANE PSAILA",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A",
"authorized_official_last_name": "PSAILA",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "LMSW",
"authorized_official_telephone_number": "734-358-3810",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801077434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.