Active NPI
Sarah Pieciak, TLLP
- Psychologist
- West Bloomfield, MI
National Provider Identifier
1962149096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009524
- Practice address
- 5777 W Maple Rd Ste 145
West Bloomfield, MI 48322-4471 - Phone
- (248) 455-6619
- NPI assigned
- May 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6362009524 | MI | Primary |
Addresses
Primary practice location
5777 W Maple Rd Ste 145
West Bloomfield, MI 48322-4471
Mailing address
6845 Granger Dr
Troy, MI 48098-6905
Phone (586) 854-4696
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009524 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Pine, Inc. | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- Waterford, MI
- NPI 1063927085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653177600000",
"number": "1962149096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6845 GRANGER DR",
"city": "TROY",
"state": "MI",
"postal_code": "480986905",
"telephone_number": "586-854-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 W MAPLE RD STE 145",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224471",
"telephone_number": "248-455-6619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIECIAK",
"first_name": "SARAH",
"credential": "TLLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-22",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
- Josef Philipp, DC
- Eric A Phillips, D.O.
- Jason Thomas Phillips
- Renee Clare Phillips, FNP-C
- Physiotherapy Associates, Inc. (NovaCare Rehabilitation)
- Melanie Pierce
- Sarah Catherine Pierce, OTR/L, OTD
- Jennifer Lee Pillow-White, N.C.T.M.
- Nasrin Pilotzada, DNP, RN, AGACNP-BC
- Pinnacle Health Consulting LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.