Active NPI
Stihlyn Chamberlain-Scott
- Clinical Psychologist
- Livonia, MI
National Provider Identifier
1639859341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6351004693
- Practice address
- 31478 Industrial Rd Ste 300
Livonia, MI 48150-1840 - Phone
- (734) 245-2500
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6351004693 | MI | Primary |
Addresses
Primary practice location
31478 Industrial Rd Ste 300
Livonia, MI 48150-1840
Mailing address
1411 Oak Valley Dr Apt 103
Ann Arbor, MI 48108-8934
Other names 1
- Stihlyn Chamberlain
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 |
|---|---|---|---|
| 6351004693 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1639859341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 OAK VALLEY DR APT 103",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481088934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31478 INDUSTRIAL RD STE 300",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501840",
"telephone_number": "734-245-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN-SCOTT",
"first_name": "STIHLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6351004693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STIHLYN",
"last_name": "CHAMBERLAIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.