Individual provider Active NPI

Nicholas Paul Zulinski, LLP

  • Psychologist
  • Dearborn, MI
National Provider Identifier
1891113627
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301015817 Issued in MI
Practice address
835 Mason St Ste B220
Dearborn, MI 48124
Phone
(313) 561-9064
Fax
(313) 563-4480
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301015817 MI Primary

Addresses

Primary practice location

835 Mason St Ste B220
Dearborn, MI 48124

Mailing address

835 Mason St Ste B220
Dearborn, MI 48124-2262
Phone (313) 561-9064

Other practice location 1

23000 Telegraph Rd Ste 3
Brownstown, MI 48134-9265
Phone (313) 561-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301015817MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Modern Psychology Group,PLLC CurrentSince Apr 13, 2024 Accepting new patients

Locations

835 Mason St
Ste B220
Dearborn, MI 48124
Phone 3135619064 ext. 102

Organizations & group practices 1

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1891113627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B220",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242262",
            "telephone_number": "313-561-9064",
            "fax_number": "313-563-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B220",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-561-9064",
            "fax_number": "313-563-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23000 Telegraph Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brownstown",
            "state": "MI",
            "postal_code": "481349265",
            "country_code": "US",
            "telephone_number": "313-561-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZULINSKI",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.