Active NPI
Sandra Taylor Paulsen, MA, LLP
- Counseling Psychologist
- Adrian, MI
National Provider Identifier
1508995630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301009604
- Practice address
- 4650 W US Highway 223
Adrian, MI 49221-8494 - Phone
- (517) 266-2588
- Fax
- (517) 266-0224
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301009604 | MI | Primary |
Addresses
Primary practice location
4650 W US Highway 223
Adrian, MI 49221-8494
Mailing address
9437 Shady Dr
Tipton, MI 49287-8722
Phone (517) 431-3222
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301009604 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508995630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9437 SHADY DR",
"city": "TIPTON",
"state": "MI",
"postal_code": "492878722",
"telephone_number": "517-431-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W US HIGHWAY 223",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492218494",
"telephone_number": "517-266-2588",
"fax_number": "517-266-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "SANDRA",
"middle_name": "TAYLOR",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301009604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.