Organization Active NPI

Michigan Health Psychologists PLLC

  • Clinical Psychologist
  • Plymouth, MI
National Provider Identifier
1649561846
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008904 Issued in MI
Legal business name
MICHIGAN HEALTH PSYCHOLOGISTS PLLC
Practice address
199 N Main St Ste 106
Plymouth, MI 48170-1286
Phone
(734) 961-4591
Fax
(734) 468-1141
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Michael B Sytniak, PH.D.NPI 1285760298
Title
Psychologist / Owner
Phone
(734) 458-1750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301008904 MI Primary

Addresses

Primary practice location

199 N Main St Ste 106
Plymouth, MI 48170-1286

Mailing address

PO Box 6052
Plymouth, MI 48170-0052
Phone (734) 458-1750

National Provider Directory

National Provider Directory

Locations

199 N Main St
Ste 106
Plymouth, MI 48170
Phone (734) 458-1750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1649561846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6052",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481700052",
            "telephone_number": "734-458-1750",
            "fax_number": "248-849-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N MAIN ST STE 106",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701286",
            "telephone_number": "734-961-4591",
            "fax_number": "734-468-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEALTH PSYCHOLOGISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "SYTNIAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "734-458-1750",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

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