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ZAK ZILLEN
NPI 1588496574
Psychologist - Clinical in Southgate, MI

Active since August 17, 2024
13111 ALLEN RD, SOUTHGATE, MI 48195(734) 287-1500 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2025, Aug 17, 2024 (2 updates tracked since 2024).

About Zak Zillen NPPES

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

ZAK ZILLEN (NPI 1588496574) is an individual clinical provider in Southgate, Michigan, licensed in Michigan (6362010163) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1588496574
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameZAK ZILLEN
Location Address13111 ALLEN RDSouthgate, MI 48195-2216
Mailing Address13101 Allen RdSouthgate, MI 48195-2216 · (734) 785-7700
Phone(734) 287-1500
Sole ProprietorNo
Enumeration DateAugust 17, 2024
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1588496574 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 · 6362010163
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.
13111 ALLEN RD, Southgate, MI 48195
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Other Providers at the Same Location NPPES 15

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

WARNER MYNTTI
Student in an Organized Health Care Education/Training Program
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
JENNIFER ROBINSON
Peer Specialist
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
VASAVI GANESAN SHANTHI
Behavior Analyst
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 272-9959
JERRY PERRETT JR.
Case Manager/Care Coordinator
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 309-0362
MICHELLE M BACKUS-PORTER
Student in an Organized Health Care Education/Training Program
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CRAIG LEFEVRE
Student in an Organized Health Care Education/Training Program
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
DAWN ELIZABETH BOYER-SHOUP
Student in an Organized Health Care Education/Training Program
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
KIRA D'ALESSANDRI CPSS, CPRC
Peer Specialist
13111 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 492-6629

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 Zak Zillen's NPI number?

The NPI number for Zak Zillen is 1588496574. It was assigned to this individual provider in the NPPES registry on August 17, 2024.

Where is Zak Zillen located?

Zak Zillen practices at 13111 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 287-1500.

What is Zak Zillen'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 Zak Zillen was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.