Individual provider Active NPI

Urminda Sue Firlan, PHD, DLLP

  • Psychologist
  • Lowell, MI
National Provider Identifier
1629440979
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301016514 Issued in MI
Practice address
3795 Hilton Ave SE
Lowell, MI 49331-9527
Phone
(616) 901-9507
NPI assigned
Oct 27, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301016514 MI Primary

Addresses

Primary practice location

3795 Hilton Ave SE
Lowell, MI 49331-9527

Mailing address

3795 Hilton Ave SE
Lowell, MI 49331-9527
Phone (616) 901-9507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002089 MI Practitioner - Clinical Psychologist 2668803685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2013 Eastcastle Dr SE
Suite B
Grand Rapids, MI 49508-8873
Phone (616) 888-1120

3795 Hilton Ave SE
Lowell, MI 49331-9527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301016514MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Journey PLLC Psychologist CurrentSince Feb 26, 2020 Accepting new patients

Locations

11282 Tallmadge Woods Dr NW
Ste A
Grand Rapids, MI 49534

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

420 Plymouth Ave NE
Grand Rapids, MI 49505

4880 36th St SE
Ste 204
Grand Rapids, MI 49512

251 N Rose St
Ste 200
Kalamazoo, MI 49007
Phone (269) 329-0730

2013 Eastcastle Dr SE
Ste B
Kentwood, MI 49508
Phone (616) 204-0308

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.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1629440979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 HILTON AVE SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319527",
            "telephone_number": "616-901-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 HILTON AVE SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319527",
            "telephone_number": "616-901-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRLAN",
        "first_name": "URMINDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHD, DLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MI

Sources for this page

Verify at the official NPI Registry.