NPIMap

Organization Active NPI

SFD Psychological Services

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1356745962
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014865 Issued in MI
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

2311 E Stadium Blvd
Ste 109
Ann Arbor, MI 48104
Phone (734) 412-8282

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.

Verify at the official NPI Registry.