Active NPI
Sarah Dove
- Clinical Psychologist
- Utica, MI
National Provider Identifier
1164826491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016128
- Practice address
- 11111 Hall Rd Ste 303
Utica, MI 48317-5726 - Phone
- (586) 244-8577
- NPI assigned
- Oct 15, 2014
- Last updated
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301016128 | MI | Primary |
Addresses
Primary practice location
11111 Hall Rd Ste 303
Utica, MI 48317-5726
Mailing address
11111 Hall Rd Ste 303
Utica, MI 48317-5726
Phone (586) 244-8577
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 |
|---|---|---|---|
| 6301016128 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1164826491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 HALL RD STE 303",
"city": "UTICA",
"state": "MI",
"postal_code": "483175726",
"telephone_number": "586-244-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 HALL RD STE 303",
"city": "UTICA",
"state": "MI",
"postal_code": "483175726",
"telephone_number": "586-244-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVE",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.