Individual provider Active NPI

Talia Ziv, PHD

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1912143108
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301010096 Issued in MI
Practice address
5745 W Maple Rd
Ste #218
West Bloomfield, MI 48322-4468
Phone
(248) 855-0222
Fax
(248) 855-0239
NPI assigned
Dec 18, 2008
Last updated
Dec 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 6301010096 MI
Clinical Psychologist 103TC0700X 6301010096 MI Primary

Addresses

Primary practice location

5745 W Maple Rd
Ste #218
West Bloomfield, MI 48322-4468

Mailing address

5745 W Maple Rd
Ste #218
West Bloomfield, MI 48322-4468
Phone (248) 855-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301010096MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1912143108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 W MAPLE RD",
            "address_2": "STE #218",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224468",
            "telephone_number": "248-855-0222",
            "fax_number": "248-855-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 W MAPLE RD",
            "address_2": "STE #218",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224468",
            "telephone_number": "248-855-0222",
            "fax_number": "248-855-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIV",
        "first_name": "TALIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6301010096",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.