CAROL MARIE WASIAK MA TLLP
NPI 1538408976
Psychologist - Clinical in Detroit, MI

Active since February 05, 2013
79 W ALEXANDRINE ST, DETROIT, MI 48201(313) 831-5535 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol Marie Wasiak Ma Tllp NPPES

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

CAROL MARIE WASIAK MA TLLP (NPI 1538408976) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6301015170) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1538408976
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCAROL MARIE WASIAKCredential: MA TLLP
Location Address79 W ALEXANDRINE STDetroit, MI 48201-2015
Mailing Address27851 Middle Pointe Dr Unit 112qHarrison Township, MI 48045-6833 · (586) 206-9035
Sole ProprietorNo
Enumeration DateFebruary 5, 2013
Last NPPES UpdateNovember 28, 2017
NPI 1538408976 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 · 6301015170
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.
79 W ALEXANDRINE ST, Detroit, MI 48201

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Social Worker (Clinical)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Counselor (Professional)
79 W ALEXANDRINE ST
DETROIT, MI 48201
Specialist
79 W ALEXANDRINE ST
DETROIT, MI 48201
Behavior Technician
79 W ALEXANDRINE ST
DETROIT, MI 48201
Psychologist (Clinical Child & Adolescent)
79 W ALEXANDRINE ST
DETROIT, MI 48201

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 Carol Wasiak's NPI number?

The NPI number for Carol Wasiak is 1538408976. It was assigned to this individual provider in the NPPES registry on February 5, 2013.

Where is Carol Wasiak located?

Carol Wasiak practices at 79 W Alexandrine St, Detroit, MI 48201. The listed phone number is (313) 831-5535.

What is Carol Wasiak'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 Carol Wasiak was last updated on November 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.