Sydney Salloum, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023423 Issued in MI

Practice address

912 S Old Woodward Ave # 200
Birmingham, MI 48009-6721

Phone

(248) 537-2639

NPI assigned

Jan 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sydney Pickard Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• 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

State licenses

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.

• Joel L. Young, M.D., P.C.

  dba Rochester Center for Behavioral Medicine

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester Hills, MI
  • NPI 1396753729
  Medicare reassignment NPD

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1528820602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S OLD WOODWARD AVE # 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096721",
            "telephone_number": "248-537-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S OLD WOODWARD AVE # 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096721",
            "telephone_number": "248-537-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "SYDNEY",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "PICKARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Rubin, LMSW
• Marilynn Gayle Rusche, MSW
• Talia Yaffa Rybak, MA, LPC
• Heather Rylance, LPCI
• Kamil Saba
• Samantha Voss PLLC
• Kristen Sana
• John R Sanborn, MD
• Jillian Sanders
• Michael A Sansone, DDS

• Mental Health Counselor in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.