Individual provider Active NPI

Sunny W. Sunwoo, LLP

  • Clinical Psychologist
  • Novi, MI
National Provider Identifier
1316612419
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6362009347 Issued in MI
Practice address
27780 Novi Rd Ste 107
Novi, MI 48377-3401
Phone
(248) 716-8074
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6362009347 MI Primary
Clinical Psychologist 103TC0700X 6361007891 MI

Addresses

Primary practice location

27780 Novi Rd Ste 107
Novi, MI 48377-3401

Mailing address

27912 Middleton Dr
Novi, MI 48377-2575

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

State licenses

LicenseStateTypeSpecialty
6361007891MIMDClinical Psychologist
6362009347MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
A3 Services Group PLLC Current Accepting new patients

Locations

27780 Novi Rd
Ste 107
Novi, MI 48377
Phone (248) 567-2930

Organizations & group practices 1

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1316612419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27912 MIDDLETON DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27780 NOVI RD STE 107",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773401",
            "telephone_number": "248-716-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNWOO",
        "first_name": "SUNNY",
        "middle_name": "W.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009347",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361007891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.