Port Huron Behavioral Specialists

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

430105549 Issued in MI

Legal business name

PORT HURON BEHAVIORAL SPECIALISTS

Practice address

309 McMorran Blvd
Port Huron, MI 48060-3807

Phone

(810) 488-7974

Fax

(810) 794-7751

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Phillipa Louise Zylanoff, M.D.NPI 1699882126

Title

General Partner

Phone

(810) 633-9211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillipa Louise Zylanoff, M.D.

  • Psychiatry Physician
  • Marlette, MI
  • NPI 1699882126
  NPD (past) Authorized official

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1831328210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MCMORRAN BLVD",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603807",
            "telephone_number": "810-488-7974",
            "fax_number": "810-794-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MCMORRAN BLVD",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603807",
            "telephone_number": "810-488-7974",
            "fax_number": "810-794-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT HURON BEHAVIORAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "ZYLANOFF",
        "authorized_official_first_name": "PHILLIPA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "810-633-9211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "430105549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Polio-McGuire, LLMSW
• Jennifer Marie Polio
• Victor Paul Polito Jr.
• Thomas P Pope, LLP
• Port Huron Anesthesiology, PC
• Port Huron Clinic P.C.
• Port Huron Counseling Behavioral Specialist
• Port Huron Family Care PLLC
• Port Huron Hospital Crna Billing, LLC
• Port Huron Internal Medicine

• Psychiatry Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.