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DR. SANFORD KOLTONOW MD
NPI 1699734012
Psychologist - Psychoanalysis in Beverly Hills, MI

Active since March 23, 2006Opted out of Medicare · through Aug 4, 2027
31815 SOUTHFIELD RD STE 24, BEVERLY HILLS, MI 48025(248) 464-4354 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sanford Koltonow Md NPPES

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

DR. SANFORD KOLTONOW MD (NPI 1699734012) is an individual psychoanalysis provider in Beverly Hills, Michigan and active in the NPI registry since March 2006. He has opted out of Medicare through August 4, 2027.

NPPES Registry Identity

NPI1699734012
Entity TypeIndividualMale
Primary Taxonomy103TP0814X
Provider Legal NameDR. SANFORD KOLTONOWCredential: MD
Location Address31815 SOUTHFIELD RD STE 24Beverly Hills, MI 48025-5471
Mailing Address31815 Southfield Rd Ste 24Beverly Hills, MI 48025-5471 · (248) 464-4354
Phone(248) 464-4354
Sole ProprietorYes
Enumeration DateMarch 23, 2006
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1699734012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedEmergency MedicineTaxonomy 207P00000X · License 4301045596 (MI)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301045596 (MI)
31815 SOUTHFIELD RD STE 24, Beverly Hills, MI 48025
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Other Identifiers 2

Other010F362410MI · Bcbsm
Medicaid1577750MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sanford Koltonow Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 4, 2023 through August 4, 2027.

Opt-Out Effective DateAugust 4, 2023
Opt-Out In Effect ThroughAugust 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Sanford Koltonow's NPI number?

The NPI number for Sanford Koltonow is 1699734012. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Sanford Koltonow located?

Sanford Koltonow practices at 31815 Southfield Rd Ste 24, Beverly Hills, MI 48025. The listed phone number is (248) 464-4354.

What is Sanford Koltonow's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is Sanford Koltonow enrolled in Medicare?

No. Sanford Koltonow has opted out of Medicare through August 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sanford Koltonow was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.