Active NPI
Susan Lilienfield, PHD
- Psychologist
- Detroit, MI
National Provider Identifier
1548488158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301003970
- Practice address
- 20111 Picadilly Rd
Detroit, MI 48221-1309 - Phone
- (313) 861-6874
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301003970 | MI | Primary |
Addresses
Primary practice location
20111 Picadilly Rd
Detroit, MI 48221-1309
Mailing address
20111 Picadilly Rd
Detroit, MI 48221-1309
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301003970 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548488158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20111 PICADILLY RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20111 PICADILLY RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211309",
"telephone_number": "313-861-6874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILIENFIELD",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301003970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, 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.