Active NPI
Alisa Marie Hilewsky, PSYD, LP, LPC
- Psychologist
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013924
- Practice address
- 31201 Chicago Rd S Ste A201
Warren, MI 48093-5552 - Phone
- (248) 543-0033
- Fax
- (248) 548-5309
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013924 | MI | Primary |
Addresses
Primary practice location
31201 Chicago Rd S Ste A201
Warren, MI 48093-5552
Mailing address
31201 Chicago Rd S Ste A201
Warren, MI 48093-5552
Phone (248) 543-0033
Other practice location 1
64541 Van Dyke Rd Ste 101B
Washington Twp, MI 48095-2570
Phone (248) 543-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
31201 Chicago Rd S
Suite A201
Warren, MI 48093-5552
Phone (248) 543-0033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013924 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mindful Self, LLC | Psychologist | Current | Accepting new patients |
Locations
28303 Dequindre Rd
Ste 200
Madison Heights, MI 48071
Phone (248) 543-0033
31201 Chicago Rd S
Ste A201
Warren, MI 48093
Phone (248) 543-0033
64541 Van Dyke Rd
Ste 101B
Washington Twp, MI 48095
Phone (248) 543-0033
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1407002447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31201 CHICAGO RD S STE A201",
"city": "WARREN",
"state": "MI",
"postal_code": "480935552",
"telephone_number": "248-543-0033",
"fax_number": "248-548-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31201 CHICAGO RD S STE A201",
"city": "WARREN",
"state": "MI",
"postal_code": "480935552",
"telephone_number": "248-543-0033",
"fax_number": "248-548-5309"
}
],
"practiceLocations": [
{
"address_1": "64541 Van Dyke Rd Ste 101B",
"address_purpose": "LOCATION",
"city": "Washington Twp",
"state": "MI",
"postal_code": "480952570",
"country_code": "US",
"telephone_number": "248-543-0033",
"fax_number": "248-548-5309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILEWSKY",
"first_name": "ALISA",
"middle_name": "MARIE",
"credential": "PSYD, LP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.