Meriam Veronica Sam, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704277367 Issued in MI

Practice address

2301 S Huron Pkwy Ste 2B
Ann Arbor, MI 48104-5133

Phone

(734) 796-5552

NPI assigned

Sep 20, 2011

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westlake Consultation CenterGroup PAC ID 4284057662, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westlake Consultation Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1962032227
  Medicare reassignment Care Compare group NPD Authorized official
• Huron Valley Consultation Center Inc

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1750314027
  Medicare reassignment NPD
• Weight Wise Solutions LLC

  • Primary Care Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1043178254
  Authorized official Same address or phone
• Westlake Consultation Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Ann Arbor, MI
  • NPI 1093623126
  Authorized official Same address or phone
• Stillwater Mind and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1386552404
  Authorized official Same address or phone

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1992087605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY STE 2B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "734-796-5552",
            "fax_number": "734-480-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY STE 2B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "734-796-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "MERIAM",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704277367",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704277367",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704277367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Salva, R.N.
• Celeste Salvador-Gonzalez, MSW
• Nicole Marie Salvia, LMSW
• Deborah Lee Salzberg, PSY.D.
• Larry B Salzmann, DDS
• Jane Reeves Ellis Samaha, MD MPH
• Samantha Cecil, LMSW, PLLC
• Samantha Kesterson, LMSW PLLC
• Samaritan Counseling Services
• Samaritan Counseling Services

• Psychiatric/Mental Health Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.