NPIMap

Organization Active NPI

Adrianne M Camero-Sulak, Psy.D., PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1497083711
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301011464 Issued in MI
Legal business name
ADRIANNE M CAMERO-SULAK, PSY.D., PLLC
Practice address
555 E William St
Suite 18-H
Ann Arbor, MI 48104-2441
Phone
(734) 355-4439
Fax
(734) 429-9584
NPI assigned
Nov 24, 2009
Last updated
Nov 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Adrianne Marie Camero-Sulak, PSY.D.NPI 1639259021
Title
Licensed Clinical Psychologist
Phone
(734) 355-4439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301011464 MI Primary

Addresses

Primary practice location

555 E William St
Suite 18-H
Ann Arbor, MI 48104-2441

Mailing address

555 E William St
Suite 18-H
Ann Arbor, MI 48104-2441
Phone (734) 355-4439

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1497083711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E WILLIAM ST",
            "address_2": "SUITE 18-H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042441",
            "telephone_number": "734-355-4439",
            "fax_number": "734-429-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E WILLIAM ST",
            "address_2": "SUITE 18-H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042441",
            "telephone_number": "734-355-4439",
            "fax_number": "734-429-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIANNE M CAMERO-SULAK, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "CAMERO-SULAK",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-355-4439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.