Charles Silow, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

CS008905 Issued in MI

Practice address

5143 Cass Elizabeth Rd
Waterford, MI 48327-3224

Phone

(248) 542-1215

Fax

(248) 542-1215

NPI assigned

Aug 17, 2006

Last updated

Nov 2, 2011By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1497868921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5143 CASS ELIZABETH RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273224",
            "telephone_number": "248-542-1215",
            "fax_number": "248-542-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5143 CASS ELIZABETH RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483273224",
            "telephone_number": "248-542-1215",
            "fax_number": "248-542-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILOW",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "CS008905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680F330220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David D Shushtari, DDS
• Marvin David Siegel, MD
• Michael Tobin Siegel, MD
• Kimberly Sifuentes
• Kerri Sills
• Gurbir Singh, MD
• Parvathi Sivaramakrishnan, M.D.
• SJMH Medical Practice-SMHC
• Pamela Jean Skelly, OTR/L
• Kelly Vaseau Sleiman, MSW

• Clinical Psychologist in Waterford, MI
• Providers in Waterford, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.