Active NPI
Michael Lee Sulkowski, PH.D.
- Psychologist
- Tucson, AZ
National Provider Identifier
1427475169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4432
- Practice address
- 5956 E Pima St
130
Tucson, AZ 85712-4375 - Phone
- (716) 472-5836
- NPI assigned
- Mar 19, 2014
- Sex
- Male
- 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 | 4432 | AZ | Primary |
Addresses
Primary practice location
5956 E Pima St
130
Tucson, AZ 85712-4375
Mailing address
5956 E Pima St
130
Tucson, AZ 85712-4375
Phone (716) 472-5836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4432 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1427475169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5956 E PIMA ST",
"address_2": "130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124375",
"telephone_number": "716-472-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5956 E PIMA ST",
"address_2": "130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124375",
"telephone_number": "716-472-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULKOWSKI",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.