Active NPI
Valerie Przywara, LLP
- Addiction (Substance Use Disorder) Psychologist
- Dearborn, MI
National Provider Identifier
1235230830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- Practice address
- 5111 Auto Club Dr
112
Dearborn, MI 48126-2749 - Phone
- (313) 317-2000
- Fax
- (313) 317-2090
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5111 Auto Club Dr
112
Dearborn, MI 48126-2749
Mailing address
5111 Auto Club Dr
112
Dearborn, MI 48126-2749
Phone (313) 317-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235230830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 AUTO CLUB DR",
"address_2": "112",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262749",
"telephone_number": "313-317-2000",
"fax_number": "313-317-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 AUTO CLUB DR",
"address_2": "112",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262749",
"telephone_number": "313-317-2000",
"fax_number": "313-317-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRZYWARA",
"first_name": "VALERIE",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.