Organization Active NPI

Arbor Wellness Center, PLLC

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1548750623
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301012437 Issued in MI
Legal business name
ARBOR WELLNESS CENTER, PLLC
Practice address
3300 Washtenaw Ave Ste 282
Ann Arbor, MI 48104-5184
Phone
(734) 743-1033
Fax
(734) 527-6075
NPI assigned
May 15, 2018
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Johanna Eastman Buzolits, PH.D.NPI 1417283441
Title
Owner
Phone
(734) 646-0885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301012437 MI Primary

Addresses

Primary practice location

3300 Washtenaw Ave Ste 282
Ann Arbor, MI 48104-5184

Mailing address

3300 Washtenaw Ave Ste 282
Ann Arbor, MI 48104-5184
Phone (734) 743-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109001872 MI Part B Supplier - Clinic/Group Practice 7911483862 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

3300 Washtenaw Ave
Ste 282
Ann Arbor, MI 48104
Phone (734) 219-4070

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1548750623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 282",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "734-743-1033",
            "fax_number": "734-527-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 282",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "734-743-1033",
            "fax_number": "734-527-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BUZOLITS",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "EASTMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-646-0885",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012437",
            "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 Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.