Iliana Pantoleon, TLLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301017023 Issued in MI

Practice address

650 Griswold St
Northville, MI 48167-1666

Phone

(248) 912-0080

Fax

(248) 912-0208

NPI assigned

Mar 23, 2018

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

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.

• Robert Garcia MD PC

  dba The Psychiatry & Psychology Center

  • Psychiatry Physician
  • Northville, MI
  • NPI 1760659312
  NPD (past)

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1750886602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29476 BOBRICH ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523404",
            "telephone_number": "248-946-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671666",
            "telephone_number": "248-912-0080",
            "fax_number": "248-912-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOLEON",
        "first_name": "ILIANA",
        "name_prefix": "Mrs.",
        "credential": "TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Palazzo, D.C.
• Juliann Pallikizhakethil
• Rebekah Ann Palmer, RN, BCABA
• Hemanth Panditi
• Lizabella Oraiz Panganiban, PT, OCS
• Parallel Management Group, L.L.C.
• Sarah Pare, LLPC
• Nisha Parikh
• Amy Elizabeth Parravano Drummond, ACSW, LMSW
• Susan Pascarella

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.