Organization Active NPI

Sundial Psychology PLLC

  • Psychologist
  • Rochester Hills, MI
National Provider Identifier
1649090127
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SUNDIAL PSYCHOLOGY PLLC
Practice address
2083 Yarmuth Dr
Rochester Hills, MI 48307-4075
Phone
(517) 672-8911
NPI assigned
Oct 10, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Jonathan Ronald Stewart
Title
Chief Administrative Officer
Phone
(517) 672-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2083 Yarmuth Dr
Rochester Hills, MI 48307-4075

Mailing address

PO Box 80129
Rochester, MI 48308-0129
Phone (517) 672-8911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1649090127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80129",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483080129",
            "telephone_number": "517-672-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 YARMUTH DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074075",
            "telephone_number": "517-672-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDIAL PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "517-672-8911"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.