Individual provider Active NPI

Aaron Sedlar, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1295344216
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6351002102 Issued in MI
Practice address
2500 Packard St Ste 104a
Ann Arbor, MI 48104-6827
Phone
(734) 707-1052
Fax
(734) 661-1887
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6351002102 MI Primary

Addresses

Primary practice location

2500 Packard St Ste 104a
Ann Arbor, MI 48104-6827

Mailing address

2500 Packard St Ste 104a
Ann Arbor, MI 48104-6827
Phone (734) 552-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001863 MI Practitioner - Clinical Psychologist 4082148754 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6351002102MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Services PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2500 Packard St
Ste 104A
Ann Arbor, MI 48104
Phone (734) 707-1052

2885 Sanford Ave SW
Grandville, MI 49418
Phone (425) 606-5304

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1295344216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PACKARD ST STE 104A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046827",
            "telephone_number": "734-552-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PACKARD ST STE 104A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046827",
            "telephone_number": "734-707-1052",
            "fax_number": "734-661-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLAR",
        "first_name": "AARON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6351002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.