DR. PHYLLIS M. FLORIAN (NPI# 1023238623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023238623 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS M. FLORIAN |
| Credential | PSY.D |
| Practice Address |
555 W Crosstown Pkwy Ste 403 Kalamazoo MI 49008-1980 |
| Mailing Address |
1409 Cherokee St Kalamazoo MI 49006-2015 |
| Practice Telephone | 2693527922 |
| Mailing Telephone | 2693527922 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016014 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DOCTORAL LICENSE IN PSYCHOLOGY | 6301016014 | 01 |
| MI | MICHIGAN STATE DEPT. OF LICENSING AND REGULATORY AFFAIRS | 6301012839 | 01 |
| Street Address |
555 W CROSSTOWN PKWY STE 403 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700340817 | Millicent Marie Perkins | Psychologist | 9177 W R Ave, Kalamazoo, MI 49009-9740 | 2019-01-23 |
| 1437644945 | Christopher Andre' Briggs | Psychologist | 5182 N Peak St, Kalamazoo, MI 49004-2149 | 2018-06-27 |
| 1922468123 | Margaret Hunter | Psychologist | 2524 Lomond Dr, Kalamazoo, MI 49008-2126 | 2016-03-01 |
| 1972902856 | Craig Crawford | Psychologist | 8566 Old Stone Cir, Kalamazoo, MI 49009-4535 | 2014-08-18 |
| 1497188049 | Erica Christoff | Psychologist | 4341 S Westnedge Ave Ste 1201, Kalamazoo, MI 49008-3284 | 2013-08-19 |
| 1265776629 | Julie Meredith Davis | Psychologist | 5985 W Main St Ste 101, Kalamazoo, MI 49009 | 2012-11-23 |
| 1033498993 | Laurie L. Assadi | Psychologist | 4341 South Westnedge, Suite 2101, Kalamazoo, MI 49008-3286 | 2011-08-10 |
| 1538322771 | Alan Hill | Psychologist | 2416 Benton Avenue, Kalamazoo, MI 49008 | 2008-07-08 |
| 1912174715 | Thomas Ray Holmes | Psychologist | 2923 Memory Ln, Kalamazoo, MI 49006-5534 | 2008-05-12 |
| 1922278290 | Charles T. Glatt | Psychologist | 3040 Wellington Rd, Kalamazoo, MI 49008-2141 | 2008-03-03 |
| Find all providers in KALAMAZOO | ||||
Please comment or provide details below to improve the information on DR. PHYLLIS M. FLORIAN.
| 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.