Organization Active NPI

Sierra Behavioral Services, P.L.C.

  • Clinical Psychologist
  • Royal Oak, MI
National Provider Identifier
1194772723
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SIERRA BEHAVIORAL SERVICES, P.L.C.
Practice address
221 S Main St
Suite 201
Royal Oak, MI 48067-2611
Phone
(248) 398-6459
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Dr. Gregory Michael Kotlarz, PH.D.
Title
Administrator
Phone
(248) 398-6459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

221 S Main St
Suite 201
Royal Oak, MI 48067-2611

Mailing address

221 S Main St
Suite 201
Royal Oak, MI 48067-2611
Phone (248) 398-6459

National Provider Directory

National Provider Directory

Locations

13137 N Clio Rd
Clio, MI 48420
Phone (810) 686-2600

18300 E Warren Ave
Detroit, MI 48224
Phone (313) 343-8000

725 W Genesee St
Frankenmuth, MI 48734
Phone (989) 399-2001

15475 Middlebelt Rd
Livonia, MI 48154
Phone (734) 427-9175

17940 Farmington Rd
Ste 240
Livonia, MI 48152
Phone (734) 425-6680

4830 Central Park Dr
Okemos, MI 48864
Phone (517) 349-3600

221 S Main St
Ste 201
Royal Oak, MI 48067
Phone (248) 398-6459

11700 E 10 Mile Rd
Warren, MI 48089
Phone (586) 353-3800

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1194772723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672611",
            "telephone_number": "248-398-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672611",
            "telephone_number": "248-398-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA BEHAVIORAL SERVICES, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "KOTLARZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-398-6459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.