Sandra G Prochazka, LMSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101005601 Issued in MI

Practice address

3830 Packard St Ste 250
Ann Arbor, MI 48108-2273

Phone

(734) 786-2364

Fax

(734) 786-4915

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Mary Mercy Hospital Professional

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1528145554
  Medicare reassignment NPD
• Alternative Counseling Services

  • Community/Behavioral Health Agency
  • Ann Arbor, MI
  • NPI 1629467725
  NPD (past) Authorized official
• St Mary Mercy Hospital Crna

  • Certified Registered Nurse Anesthetist
  • Livonia, MI
  • NPI 1063602092
  NPD
• St Mary Mercy Hospital Professional

  • Community/Behavioral Health Agency
  • Ann Arbor, MI
  • NPI 1386913705
  NPD
• St Mary Mercy Hospital Professional

  • Gastroenterology Physician
  • Ypsilanti, MI
  • NPI 1447953971
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609933209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 JENNINGS RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899511",
            "telephone_number": "734-786-2364",
            "fax_number": "734-786-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082273",
            "telephone_number": "734-786-2364",
            "fax_number": "734-786-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHAZKA",
        "first_name": "SANDRA",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801005822",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Anne Probert
• Courtney Lynn Prochaska, CPNP-PC
• Ian Roger Prochaska, PA-C
• Maggie Prochaska
• Zachary Wayne Prochaska, PA-C
• Iris Marie Proctor, LLMSW
• Stacia Marie Proefrock
• Lisa Profera, M.D.
• Professional Language Services
• Progenity Inc.

• Marriage & Family Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.