Sophisti Cuts LTD Go Green Salon

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOPHISTI CUTS LTD GO GREEN SALON

Practice address

30126 Harper Ave
Saint Clair Shores, MI 48082-1648

Phone

(586) 772-6656

Fax

(586) 772-6674

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Varney-Bielat

Title

President & Owner

Phone

(586) 772-6656

Specialties & licenses 2

Addresses

Practitioners 2

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

• Kimberly Ann Mercier, LMSW

  • Clinical Social Worker
  • Sterling Heights, MI
  • NPI 1972855120
  NPD (past)
• Maggie Varney

  • Specialist
  • Saint Clair Shores, MI
  • NPI 1851643886
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1871034892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30126 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821648",
            "telephone_number": "586-772-6656",
            "fax_number": "586-772-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30126 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821648",
            "telephone_number": "586-772-6656",
            "fax_number": "586-772-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHISTI CUTS LTD GO GREEN SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "VARNEY-BIELAT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "586-772-6656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Sokolnicki
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• Jaclyn Marie Sommerville, AU.D, CCC-A
• David Maurice Sorbo, D.D.S.
• Emianka Sotiri, MD
• Southeastern Michigan Medical Consultants PC
• Colin Southway
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• Prosthetic/Orthotic Supplier in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.