Individual provider Active NPI

Tiffany Zlatich Tuttle, PSY.D.

  • Clinical Psychologist
  • Saint Clair Shores, MI
National Provider Identifier
1649574526
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014697 Issued in MI
Practice address
27941 Harper Ave Ste 104
Saint Clair Shores, MI 48081-1535
Phone
(248) 245-2306
NPI assigned
Jan 6, 2011
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014697 MI Primary

Addresses

Primary practice location

27941 Harper Ave Ste 104
Saint Clair Shores, MI 48081-1535

Mailing address

PO Box 2471
Farmington Hills, MI 48333-2471

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
I20110324000910 MI Practitioner - Clinical Psychologist 3678756830 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians

Practice addresses (Care Compare)

11878 Hubbard St
Suite 210
Livonia, MI 48150-1733
Phone (248) 245-2306

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Centered Psych PLLC Clinical CurrentSince Oct 20, 2024 Accepting new patients
Supportive Care I of Michigan PC Clinical CurrentSince Jan 15, 2024 Accepting new patients
Hope Counseling Centers LLC Clinical PastSince Sep 24, 2023 Accepting new patients

Locations

330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300

11878 Hubbard St
Ste 210
Livonia, MI 48150

27941 Harper Ave
Ste 104
Saint Clair Shores, MI 48081
Phone (248) 245-2306

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 8

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": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1649574526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2471",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483332471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27941 HARPER AVE STE 104",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811535",
            "telephone_number": "248-245-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "TIFFANY",
        "middle_name": "ZLATICH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.