SAM PLYLER (NPI# 1558409375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558409375 |
| Entity Type | Individual |
| Full Name | SAM PLYLER |
| Credential | ED.D. |
| Practice Address |
4747 Okemos Rd Okemos MI 48864-1663 |
| Practice Telephone | 5173490515 |
| Practice Fax Number | 5173493755 |
| Mailing Telephone | 5173490515 |
| Mailing Fax Number | 5173493755 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301000679 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PI N | 620C3-4525 | 01 |
| Street Address |
4747 OKEMOS RD |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518904275 | Jaye Laurel Hamilton | Psychologist | 4747 Okemos Rd, Okemos, MI 48864-1663 | 2006-06-01 |
| 1063742583 | Integrity Counseling Services | Social Worker | 4747 Okemos Rd, Okemos, MI 48864-1663 | 2010-01-06 |
| 1104967231 | Carol Jean Ducat | Psychologist | 4747 Okemos Rd, Okemos, MI 48864-1663 | 2007-02-10 |
| 1619065026 | Anna Priscilla Dematatis | Psychologist | 4747 Okemos Rd, Okemos, MI 48864-1663 | 2006-10-11 |
| 1770677023 | Richard George Copen | Psychologist | 4747 Okemos Rd, Okemos, MI 48864-1663 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992085534 | Robert Babak Bastanfar | Psychologist | 3887 Roxbury Ave, Okemos, MI 48864-3623 | 2011-08-26 |
| 1497168264 | Robert Bastanfar Phd Lp | Psychologist | 4660 Marsh Rd, Room 28, Okemos, MI 48864-2143 | 2014-06-09 |
| 1497880769 | Julie Lynn Robert | Psychologist | 2149 Jolly Rd Ste 500, Okemos, MI 48864-6028 | 2007-02-23 |
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|---|---|---|---|---|
| 1912504002 | Being Centered LLC | Psychologist | 716 Amity St, Lowell, MI 49331-1388 | 2020-10-02 |
| 1972115251 | Transformative Counseling Services | Psychologist | 8965 Lenter Dr Se, Caledonia, MI 49316-7793 | 2020-08-19 |
| 1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
| 1790305068 | Kole Mason | Psychologist | 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 | 2020-04-16 |
| 1881229151 | Shannon Sugarman Psychotherapy | Psychologist | 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 | 2020-03-07 |
| 1376178020 | Pro-active Counseling LLC | Psychologist | 1410 84th St Sw, Byron Center, MI 49315-9344 | 2020-03-03 |
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
| 1134761398 | Mackenzie Mercer | Psychologist | 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 | 2019-10-09 |
| 1568022465 | Grace Yensch | Psychologist | 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.