Phillipa Louise Zylanoff, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301055449 Issued in MI

Practice address

3149 Main St
Ste 5
Marlette, MI 48453-1255

Phone

(810) 633-9211

Fax

(810) 941-3909

NPI assigned

Aug 23, 2006

Last updated

Sep 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Medical College of Pennsylvania, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phillipa.zylanoff@533965227425796.direct.elationemr.com

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.

• Renewal Christian Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Clemens, MI
  • NPI 1548211535
  Medicare reassignment NPD
• Port Huron Behavioral Specialists

  • Psychiatry Physician
  • Port Huron, MI
  • NPI 1831328210
  NPD (past) Authorized official
• Emmaus Christian Counseling

  • Psychologist
  • Caro, MI
  • NPI 1669160107
  NPD (past)
• Renewal Christian Counseling Inc

  • Clinical Social Worker
  • Mount Clemens, MI
  • NPI 1548648322
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1699882126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 MAIN ST",
            "address_2": "STE 5",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531255",
            "telephone_number": "810-633-9211",
            "fax_number": "810-941-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 MAIN ST",
            "address_2": "STE 5",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531255",
            "telephone_number": "810-633-9211",
            "fax_number": "810-941-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLANOFF",
        "first_name": "PHILLIPA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301055449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5404980",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2607611202",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David C Wagner, PT
• Annamarie Wilcox
• Grace Wilson
• Tammie Wolfe
• Women's Integrated Health Care, P.C.

• Psychiatry Physician in Marlette, MI
• Providers in Marlette, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.