Individual provider Active NPI

Amber Sylvan, PH.D.

  • Counseling Psychologist
  • Ann Arbor, MI
National Provider Identifier
1538665054
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301017364 Issued in MI
Practice address
206 S Main St
Ste 205
Ann Arbor, MI 48104-2114
Phone
(734) 780-4746
NPI assigned
Apr 3, 2018
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301017364 MI Primary

Addresses

Primary practice location

206 S Main St
Ste 205
Ann Arbor, MI 48104-2114

Mailing address

206 S Main St
Ste 205
Ann Arbor, MI 48104-2114
Phone (734) 780-4746

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301017364MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvan Psychological, PLLC Counseling CurrentSince Jan 15, 2023 Accepting new patients

Locations

206 S Main St
Ste 205
Ann Arbor, MI 48104
Phone (248) 703-1900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1538665054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "address_2": "STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042114",
            "telephone_number": "734-780-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "address_2": "STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042114",
            "telephone_number": "734-780-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVAN",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301017364",
            "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 Jan 9, 2023; 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.