Element Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELEMENT PSYCHOTHERAPY LLC

Practice address

27941 Harper Avenue, Ste 103 Mailbox#5
St. Clair Shores, MI 48081-1535

Phone

(249) 229-4778

Fax

(586) 859-5300

NPI assigned

Sep 16, 2019

Last updated

Dec 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Marie Tysar-Gilbert, LMSWNPI 1942571435

Title

Clinician

Phone

(248) 229-4778

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Marie Tysar-Gilbert, LMSW

  • Clinical Social Worker
  • Saint Clair Shores, MI
  • NPI 1942571435
  Authorized official Same address or phone

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1336799972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVENUE, STE 103 MAILBOX#5",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "249-229-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVENUE, STE 103 MAILBOX#5",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "249-229-4778",
            "fax_number": "586-859-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "TYSAR-GILBERT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "248-229-4778",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean A Edmondson, NP
• Frances C Edwards, LLMSW
• Monique Edwards, LLPC
• Eim Choice Care PC
• Maya El Sabbagh
• Elevate Healing Collective, LLC
• Robert Lewis Elgin, D.O.
• Elite Respiratory Services & DME, Inc
• Kaitlyn Kelise Ellison, BT
• Empowering Minds, LLC

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.