Individual provider Active NPI

Tammy Marie Szakal

  • Psychiatric/Mental Health Registered Nurse
  • Novi, MI
National Provider Identifier
1417721523
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
4704300630 Issued in MI
Practice address
39450 W Twelve Mile Rd Ste 2B
Novi, MI 48377-3600
Phone
(248) 661-7393
Fax
(248) 344-4103
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X 4704300630 MI
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704300630 MI Primary
Nurse Practitioner 363L00000X 4704300630 MI

Addresses

Primary practice location

39450 W Twelve Mile Rd Ste 2B
Novi, MI 48377-3600

Mailing address

1173 Lakeside Dr
Howell, MI 48843-1329
Phone (248) 974-6140

Other practice location 1

1173 Lakeside Dr
Howell, MI 48843-1329
Phone (248) 974-6140

Other practice location 2

12851 Grand River Rd
Brighton, MI 48116-8506
Phone (877) 976-2371

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

State licenses

LicenseStateTypeSpecialty
4704300630MIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1417721523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 LAKESIDE DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431329",
            "telephone_number": "248-974-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39450 W TWELVE MILE RD STE 2B",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773600",
            "telephone_number": "248-661-7393",
            "fax_number": "248-344-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1173 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488431329",
            "country_code": "US",
            "telephone_number": "248-974-6140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12851 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481168506",
            "country_code": "US",
            "telephone_number": "877-976-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZAKAL",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "4704300630",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704300630",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704300630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.