David Jeffery Sills, DAVID SILLS, PSY.S.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008933 Issued in MI

Practice address

2100 W Big Beaver Rd
Suite 105
Troy, MI 48084-3428

Phone

(248) 709-0771

NPI assigned

May 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. David Jeffery Sills Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1285953075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W BIG BEAVER RD STE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843428",
            "telephone_number": "248-709-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W BIG BEAVER RD",
            "address_2": "SUITE 105",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843428",
            "telephone_number": "248-709-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS",
        "first_name": "DAVID",
        "middle_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "DAVID SILLS, PSY.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008933",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "SILLS",
            "middle_name": "JEFFERY",
            "prefix": "MR.",
            "credential": "DAVID SILLS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Kristen Simpkins, PA
• Michael J Simpson, MD

• Clinical Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.