Active NPI
SFD Psychological Services
- Clinical Psychologist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014865
- Legal business name
- SFD PSYCHOLOGICAL SERVICES
- Practice address
- 2311 E Stadium Blvd
Suite 109
Ann Arbor, MI 48104-4833 - Phone
- (734) 707-1345
- NPI assigned
- Oct 11, 2014
- Last updated
- Oct 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samantha Friedman Davids, PHD
- Title
- Clinical Psychologist
- Phone
- (734) 707-1345
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014865 | MI | Primary |
Addresses
Primary practice location
2311 E Stadium Blvd
Suite 109
Ann Arbor, MI 48104-4833
Mailing address
2311 E Stadium Blvd
Suite 109
Ann Arbor, MI 48104-4833
Phone (734) 707-1345
National Provider Directory
National Provider DirectoryLocations
2311 E Stadium Blvd
Ste 109
Ann Arbor, MI 48104
Phone (734) 219-4058
Practitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1346544897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412985600000",
"number": "1356745962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 E STADIUM BLVD",
"address_2": "SUITE 109",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044833",
"telephone_number": "734-707-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 E STADIUM BLVD",
"address_2": "SUITE 109",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044833",
"telephone_number": "734-707-1345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SFD PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-11",
"last_updated": "2014-10-11",
"status": "A",
"authorized_official_last_name": "DAVIDS",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "FRIEDMAN",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "734-707-1345",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.