Individual provider Active NPI

Alicja Dorata Wasilewski, M.D.

  • Psychiatry Physician
  • Dearborn, MI
National Provider Identifier
1821057159
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5315005037 Issued in MI
Practice address
2314 Monroe St
Dearborn, MI 48124-3045
Phone
(313) 562-6633
Fax
(313) 562-0880
NPI assigned
Mar 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5315005037 MI Primary

Addresses

Primary practice location

2314 Monroe St
Dearborn, MI 48124-3045

Mailing address

1332 Balfour St
Grosse Pointe Park, MI 48230-1022
Phone (313) 640-7918

Other identifiers 1

IdentifierTypeStateIssuer
260H218870OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040625001037 MI Practitioner - Psychiatry 8628054087 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, shared by 11 NPIs, 476 clinicians

Practice addresses (Care Compare)

100 E Michigan Ave
102 Henry Ford Allegiance Internal Medicine
Jackson, MI 49201-1406
Phone (517) 205-1731

15324 E Jefferson Ave
Suite 2
Grosse Pointe Park, MI 48230-1378
Phone (586) 899-0814

205 N E Ave
Henry Ford Allegiance Behavior HLTH Outpati
Jackson, MI 49201-1753
Phone (517) 788-4730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5315005037MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Mind PLLC CurrentSince Jul 1, 2022 Accepting new patients
Center for Counseling Tennessee Current Accepting new patients
W. a. Foote Memorial Hospital, Inc. Psychiatry CurrentSince Nov 9, 2015 Accepting new patients
C.W. Enterprise LLC Psychiatry CurrentSince Apr 16, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Nov 9, 2015 Accepting new patients
W.a. Foote Memorial Hospital Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jul 1, 2017 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Psychiatry CurrentSince Jan 13, 2018 Accepting new patients
C.W. Enterprise LLC Psychiatry CurrentSince Apr 16, 2015 Accepting new patients
The Guidance Center, Adult and Family Services Past Accepting new patients
Senior Psychiatric Services of Mi, PLLC Psychiatry PastSince May 8, 2010 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Past Accepting new patients

Locations

15324 E Jefferson Ave
Ste 2
Grosse Pointe Park, MI 48230
Phone (586) 899-0814

100 E Michigan Ave
Ste 102
Jackson, MI 49201
Phone (517) 205-1731

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

51145 Washington St
Ste G
New Baltimore, MI 48047
Phone (586) 251-0840

Interoperability endpoints

  • Direct secure messaging: awasilewski452970@direct.hfhs.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821057159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 BALFOUR ST",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301022",
            "telephone_number": "313-640-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243045",
            "telephone_number": "313-562-6633",
            "fax_number": "313-562-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILEWSKI",
        "first_name": "ALICJA",
        "middle_name": "DORATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5315005037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "260H218870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.