Nicole Wozniak

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSYPAT00218240 Issued in KY

Practice address

409 Plymouth Rd Ste 250
Plymouth, MI 48170

Phone

(734) 416-9098

NPI assigned

Aug 20, 2015

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McCaskill Family Services

  • Mental Health Counselor
  • Plymouth, MI
  • NPI 1538602784
  NPD (past)

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1700252012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42736 SWAN LAKE DR APT 204",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673114",
            "telephone_number": "586-453-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 250",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-416-9098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Gibson Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752577",
            "country_code": "US",
            "telephone_number": "859-623-9389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Grand River Anx Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481145313",
            "country_code": "US",
            "telephone_number": "810-224-1676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Gibson Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752577",
            "country_code": "US",
            "telephone_number": "859-623-9389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "PSYPAT00218240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodward Detroit CVS, L.L.C.
• Jonathan Woodward
• Josh Wilson Worden, MPT
• Angela Marie Wozniak
• Gary A. Wozniak, M.D.
• Nicole S Wright, DDS MS
• Tabitha Wright
• Yih Cheng Wu, M.D.
• Zachary Wurtz
• Zeinab Wutwut

• Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.