Active NPI
Thomas D. Shazer, PSY.D.
- Psychologist
- Ann Arbor, MI
National Provider Identifier
1578897906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301007194
- Practice address
- 8303 Platt Road
Ann Arbor, MI 48106-2060 - Phone
- (734) 295-4298
- Fax
- (734) 429-1817
- NPI assigned
- Oct 2, 2009
- Sex
- Male
- 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 | 6301007194 | MI | Primary |
Addresses
Primary practice location
8303 Platt Road
Ann Arbor, MI 48106-2060
Mailing address
PO Box 2060
P.O. Box 2060
Ann Arbor, MI 48106-2060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007194 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1578897906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2060",
"address_2": "P.O. BOX 2060",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481062060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 PLATT ROAD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481062060",
"telephone_number": "734-295-4298",
"fax_number": "734-429-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAZER",
"first_name": "THOMAS",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-02",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301007194",
"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 Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.