Active NPI
Aleksandra Wilanowski, M.D.,
- Child & Adolescent Psychiatry Physician
- Jackson, MI
National Provider Identifier
1356418347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 4301066024
- Practice address
- 1200 N West Ave Ste 437
Jackson, MI 49202-2179 - Phone
- (517) 539-9426
- Fax
- (517) 796-4517
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301066024 | MI | Primary |
Addresses
Primary practice location
1200 N West Ave Ste 437
Jackson, MI 49202-2179
Mailing address
1200 N West Ave Ste 437
Jackson, MI 49202-2179
Phone (517) 539-9426
Other practice location 1
17177 N Laurel Park Dr
Suite 437
Livonia, MI 48152-2693
Phone (734) 432-6066 ext. 301
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | aleksandra.wilanowski@lifewayscmh.org | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1356418347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N WEST AVE STE 437",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022179",
"telephone_number": "517-539-9426",
"fax_number": "517-796-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N WEST AVE STE 437",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022179",
"telephone_number": "517-539-9426",
"fax_number": "517-796-4517"
}
],
"practiceLocations": [
{
"address_1": "17177 N Laurel Park Dr",
"address_2": "Suite 437",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481522693",
"country_code": "US",
"telephone_number": "734-432-6066 x301",
"fax_number": "734-432-6077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILANOWSKI",
"first_name": "ALEKSANDRA",
"name_prefix": "Mrs.",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2020-12-10",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301066024",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "aleksandra.wilanowski@lifewayscmh.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 N West Ave Ste 437",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492022179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.