Organization Active NPI

Marc J Silverstone PHD PLLC

  • Psychologist
  • Westland, MI
National Provider Identifier
1396949772
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
MS063878 Issued in MI
Legal business name
MARC J SILVERSTONE PHD PLLC
Practice address
6149 N Wayne Rd
Westland, MI 48185-7128
Phone
(734) 728-4747
Fax
(734) 729-2626
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Marc J Silverstone, PHD MSWNPI 1023059789
Title
Ceo
Phone
(734) 728-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X MS063878 MI Primary

Addresses

Primary practice location

6149 N Wayne Rd
Westland, MI 48185-7128

Mailing address

6149 N Wayne Rd
Westland, MI 48185-7128
Phone (734) 728-4747

Other identifiers 1

IdentifierTypeStateIssuer
680H228010OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091104000532 MI Part B Supplier - Clinic/Group Practice 8921178641 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI; Westland, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1396949772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857128",
            "telephone_number": "734-728-4747",
            "fax_number": "734-729-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857128",
            "telephone_number": "734-728-4747",
            "fax_number": "734-729-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC J SILVERSTONE PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "SILVERSTONE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-728-4747",
        "authorized_official_credential": "PHD MSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "MS063878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "680H228010",
            "state": "MI"
        }
    ],
    "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 Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.