Active NPI
Sarah R Reeves, MS, TLLP
- Psychologist
- Dearborn Heights, MI
National Provider Identifier
1942720685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362008880
- Practice address
- 8565 N Silvery LN Ste 400
Dearborn Heights, MI 48127-4518 - Phone
- (734) 489-1743
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Health Information Technician | 247000000X | |||
| Psychologist | 103T00000X | 6362008880 | MI | Primary |
Addresses
Primary practice location
8565 N Silvery LN Ste 400
Dearborn Heights, MI 48127-4518
Mailing address
1836 Mill St
Lincoln Park, MI 48146-2231
Phone (313) 205-5238
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Other practice location 2
13101 Allen Rd
Southgate, MI 48195-2216
Phone (313) 205-5238
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362008880 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942720685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 MILL ST",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462231",
"telephone_number": "313-205-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8565 N SILVERY LN STE 400",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481274518",
"telephone_number": "734-489-1743"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13101 Allen Rd",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952216",
"country_code": "US",
"telephone_number": "313-205-5238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEVES",
"first_name": "SARAH",
"middle_name": "R",
"credential": "MS, TLLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2022-07-21",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362008880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.