Organization Active NPI

Sylvan Psychological, PLLC

  • Counseling Psychologist
  • Ann Arbor, MI
National Provider Identifier
1255045746
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
SYLVAN PSYCHOLOGICAL, PLLC
Practice address
206 S Main St
Ste 205
Ann Arbor, MI 48104-2114
Phone
(734) 780-4746
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Dr. Amber Sylvan, LPNPI 1538665054
Title
Psychologist
Phone
(734) 780-4746

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)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

206 S Main St
Ste 205
Ann Arbor, MI 48104-2114

Mailing address

206 S Main St
Ste 205
Ann Arbor, MI 48104-2114
Phone (734) 780-4746

National Provider Directory

National Provider Directory

Locations

206 S Main St
Ste 205
Ann Arbor, MI 48104
Phone (248) 703-1900

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1255045746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "address_2": "STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042114",
            "telephone_number": "734-780-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "address_2": "STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042114",
            "telephone_number": "734-780-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVAN PSYCHOLOGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "SYLVAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-780-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "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 Jan 9, 2023; 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.