Individual provider Active NPI

Dan Pillow, PH.D.

  • Clinical Psychologist
  • Rochester Hills, MI
National Provider Identifier
1871544874
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301003394 Issued in MI
Practice address
200 Diversion St
Suite 150
Rochester Hills, MI 48307-2267
Phone
(248) 299-4315
NPI assigned
May 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301003394 MI Primary

Addresses

Primary practice location

200 Diversion St
Suite 150
Rochester Hills, MI 48307-2267

Mailing address

609 Cheshire CT
Rochester Hills, MI 48307-4517
Phone (248) 299-4315

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000694 MI Practitioner - Clinical Psychologist 6901974757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Diversion St
Suite 150
Rochester Hills, MI 48307-2207
Phone (248) 670-8791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301003394MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Pillow, PH.D., PC CurrentSince Jan 1, 2002 Accepting new patients
Anne M. Yurik, PH.D, P.C. Past Accepting new patients

Locations

200 Diversion St
#150
Rochester Hills, MI 48307
Phone (248) 370-8164

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1871544874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CHESHIRE CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074517",
            "telephone_number": "248-299-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIVERSION ST",
            "address_2": "SUITE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072267",
            "telephone_number": "248-299-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOW",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-14",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.