Active NPI
Stacey Michelle Olsafsky, MA, LLP
- Psychologist
- Westland, MI
National Provider Identifier
1548435241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013197
- Practice address
- 28303 Joy Rd
Westland, MI 48185-5524 - Phone
- (734) 513-1122
- NPI assigned
- Apr 24, 2008
- Last updated
- Apr 24, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013197 | MI | Primary |
Addresses
Primary practice location
28303 Joy Rd
Westland, MI 48185-5524
Mailing address
39097 Clocktower Dr
Romulus, MI 48174-5321
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 |
|---|---|---|---|
| 6301013197 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura W Hutchison PC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Farmington Hills, MI
- NPI 1770719767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1548435241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39097 CLOCKTOWER DR",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481745321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28303 JOY RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481855524",
"telephone_number": "734-513-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSAFSKY",
"first_name": "STACEY",
"middle_name": "MICHELLE",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.