Individual provider Active NPI

Norman David Gajowiak, M.A

  • Psychologist
  • Westland, MI
National Provider Identifier
1356712608
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301016459 Issued in MI
Practice address
35106 Cherry Hill Rd
Westland, MI 48185-4309
Phone
(734) 846-4009
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301016459 MI Primary

Addresses

Primary practice location

35106 Cherry Hill Rd
Westland, MI 48185-4309

Mailing address

35106 Cherry Hill Rd
Westland, MI 48185-4309
Phone (734) 846-4009

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301016459MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1356712608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35106 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481854309",
            "telephone_number": "734-846-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35106 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481854309",
            "telephone_number": "734-846-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJOWIAK",
        "first_name": "NORMAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.