Individual provider Active NPI

Sailesh Ram Yellayi, MA

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1730091075
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6362010463 Issued in MI
Practice address
5777 W Maple Rd
West Bloomfield, MI 48322-2267
Phone
(248) 767-7927
Fax
(248) 624-3279
NPI assigned
Sep 21, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 6362010463 MI Primary

Addresses

Primary practice location

5777 W Maple Rd
West Bloomfield, MI 48322-2267

Mailing address

30865 Bruce LN
Franklin, MI 48025-1559
Phone (248) 933-7559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1730091075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30865 BRUCE LN",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251559",
            "telephone_number": "248-933-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267",
            "telephone_number": "248-767-7927",
            "fax_number": "248-624-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLAYI",
        "first_name": "SAILESH",
        "middle_name": "RAM",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362010463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.