STEPHANIE WISNIEWSKI TLLP
NPI 1003692047
Psychologist - Clinical in Southfield, MI

Active since September 06, 2023
26545 AMERICAN DR, SOUTHFIELD, MI 48034(800) 395-3223 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 19, 2024, Sep 6, 2023 (2 updates tracked since 2023).

About Stephanie Wisniewski Tllp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE WISNIEWSKI TLLP (NPI 1003692047) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6362010015) and active in the NPI registry since September 2023. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1003692047
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTEPHANIE WISNIEWSKICredential: TLLP
Location Address26545 AMERICAN DRSouthfield, MI 48034-6115
Mailing Address57236 Goodison Apt 2211New Hudson, MI 48165-7043 · (989) 798-3617
Sole ProprietorNo
Enumeration DateSeptember 6, 2023
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1003692047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6362010015
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
26545 AMERICAN DR, Southfield, MI 48034

Secondary Practice Location 1

Location 143825 Michigan AveCanton, MI 48188-2551 · Phone (734) 397-3088

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
26545 AMERICAN DR
SOUTHFIELD, MI 48034
Clinic/Center (Mental Health (Including Community Mental Health Center))
26545 AMERICAN DR
SOUTHFIELD, MI 48034
Counselor (Professional)
26545 AMERICAN DR
SOUTHFIELD, MI 48034
Social Worker (Clinical)
26545 AMERICAN DR
SOUTHFIELD, MI 48034
Social Worker (Clinical)
26545 AMERICAN DR
SOUTHFIELD, MI 48034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wisniewski's NPI number?

The NPI number for Stephanie Wisniewski is 1003692047. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Stephanie Wisniewski located?

Stephanie Wisniewski practices at 26545 American Dr, Southfield, MI 48034. The listed phone number is (800) 395-3223.

What is Stephanie Wisniewski's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Stephanie Wisniewski was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.