Beverly Ann Tullar, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401002516 Issued in MI

Practice address

653 Lakewood Dr
South Lyon, MI 48178-1048

Phone

(903) 746-7571

NPI assigned

Sep 9, 2016

Last updated

Mar 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beverly Ann Baldwin Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psych One PLLC

  • Psychiatry Physician
  • Okemos, MI
  • NPI 1144527524
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1710434535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 LAKEWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781048",
            "telephone_number": "903-746-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 LAKEWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781048",
            "telephone_number": "903-746-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLAR",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "BALDWIN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Tomaszewski
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• Unity Rehabilitation, P.C. (Healthstyles Physical Rehabilitation)
• Evalyn A Vanevery
• Elizabeth Anne Vantubergen, DDS
• Vision Plus Inc. (First Optometry)

• Professional Counselor in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.