Individual provider Active NPI

Doreen Csokasy, TLLP/TEMPORARY LLP

  • Psychologist
  • Brighton, MI
National Provider Identifier
1548419617
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013736 Issued in MI
Practice address
10315 E. Grand River
Brighton, MI 48116
Phone
(810) 334-4055
Fax
(810) 231-2671
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013736 MI Primary

Addresses

Primary practice location

10315 E. Grand River
Brighton, MI 48116

Mailing address

6547 Woodland Rd
Whitmore Lake, MI 48189-9720
Phone (810) 334-0455

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

State licenses

LicenseStateTypeSpecialty
6301013736MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1548419617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 WOODLAND RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899720",
            "telephone_number": "810-334-0455",
            "fax_number": "810-231-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 E. GRAND RIVER",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-334-4055",
            "fax_number": "810-231-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSOKASY",
        "first_name": "DOREEN",
        "name_prefix": "Mrs.",
        "credential": "TLLP/TEMPORARY LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.