Active NPI
Melissa Marie Sulfaro, PSY.D
- Clinical Psychologist
- Berkley, MI
National Provider Identifier
1154498103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301013065
- Practice address
- 3250 Coolidge Hwy
Suite 201
Berkley, MI 48072-1693 - Phone
- (248) 761-7949
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013065 | MI | Primary |
Addresses
Primary practice location
3250 Coolidge Hwy
Suite 201
Berkley, MI 48072-1693
Mailing address
3250 Coolidge Hwy
Suite 201
Berkley, MI 48072-1693
Phone (248) 761-7949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013065 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1154498103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 COOLIDGE HWY",
"address_2": "SUITE 201",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721693",
"telephone_number": "248-761-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 COOLIDGE HWY",
"address_2": "SUITE 201",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721693",
"telephone_number": "248-761-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULFARO",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.