Amber Michalczak

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5201009897 Issued in MI

Practice address

3285 Martin Rd Ste 104
Commerce Township, MI 48390-1601

Phone

(248) 684-9610

NPI assigned

Oct 25, 2017

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)

Enrolled

State licenses

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1871005264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N OLD WOODWARD AVE APT 6",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091388",
            "telephone_number": "586-933-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 MARTIN RD STE 104",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901601",
            "telephone_number": "248-684-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALCZAK",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201009897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Group
• Mercy Medical Group-Pediatrics
• Salima Meskine, M.D.
• Dorothy Angela Mezza, R.PH.
• Mi Home Therapy Solutions LLC
• Michigan Institute of Urology PC
• Lauren Middleton
• Lori Ann Mifsud, OT
• Linda Miller, CNP
• Nicole Ann Miller, PHD

• Pediatric Occupational Therapist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.