Lake Eiseler Sweet, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6351004520APP22 Issued in MI

Practice address

3005 Boardwalk St Ste 201
Ann Arbor, MI 48108-5218

Phone

(734) 222-9277

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1982326765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 BOARDWALK ST STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BOARDWALK ST STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085218",
            "telephone_number": "734-222-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "LAKE",
        "middle_name": "EISELER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6351004520APP22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sunfieldcenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3005 Boardwalk St Ste 201",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481085218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Alexis Jasmine Swayne, AUD
• Kelly Kiernan Sweeney
• Amy Margaret Sweet
• Andrea Sweet, PT, DPT
• Anne Marie Sweet, ACNP-BC
• Raphael David Sweet, MD
• William Joseph Sweeter, LLMSW
• Domenica G Sweier, DDS
• Sahar Z Swidan, PHARM.D., BCPS
• Tracey Lynn Swider, RN

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.