William Sisung III

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007661 Issued in MI

Practice address

595 Forest Ave
Plymouth, MI 48170-1775

Phone

(734) 972-8555

NPI assigned

Jan 31, 2014

Sex

Male

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

Locations

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.

• Humanistic Mindfulness Center LLC

  • Psychologist
  • Plymouth, MI
  • NPI 1285354423
  NPD Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1841613585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 KINGWOOD ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972144",
            "telephone_number": "734-972-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 FOREST AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701775",
            "telephone_number": "734-972-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISUNG",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suki Singh, MD
• Mary Grace Sinkovich
• Faith Flores Sinoro
• Jeffrey R Sirabian, PT MHS OCS CSCS
• Karol Sistrunk
• Kelly Sitko
• Heather Skelton
• Olivia Skown
• Jennifer Judith Skurda, PTA
• Jessica Slaga

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.