Laurel Anne Sills, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006969 Issued in MI

Practice address

5600 W Maple Rd
BLDG. B Suite 215
W Bloomfield, MI 48322-3704

Phone

(248) 788-4230

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Wright State University Boonshoft School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Laurel a. Sills, Psy.D., PLLC

  • Clinical Psychologist
  • Farmington Hills, MI
  • NPI 1104242429
  Medicare reassignment NPD Authorized official
• Senior Psychiatric Services of Mi, PLLC

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1336152933

  Clinical

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1447345780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "BLDG. B SUITE 215",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-788-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "BLDG. B SUITE 215",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-788-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS",
        "first_name": "LAUREL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "OF34967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rebecca Saxe, MA, LPC
• Anna Sekulich, MSW
• George N Seligman, DDS
• Charu B Shah, MA-LBSW, CAC-M
• Marla Shiffman, CSW
• Sports Club Physical Therapy PLLC
• Michael Andrew Stiger, COTA
• Susan D Charlamb M D P C
• Synapse Neurodiagnostics
• Top Doctor Medical Group

• Clinical Psychologist in W Bloomfield, MI
• Providers in W Bloomfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.

Verify at the official NPI Registry.