NPIMap

Organization Active NPI

Mary K Anderson PHD PLLC

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1003094178
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6301008873 Issued in MI
Legal business name
MARY K ANDERSON PHD PLLC
Practice address
111 N 1St St
Ste 1
Ann Arbor, MI 48104-1397
Phone
(734) 327-5934
NPI assigned
Jan 31, 2008
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Kathryn Anderson, PHDNPI 1336168145
Title
Psychologist/Manager
Phone
(734) 327-5934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6301008873 MI Primary

Addresses

Primary practice location

111 N 1St St
Ste 1
Ann Arbor, MI 48104-1397

Mailing address

111 N 1St St
Ste 1
Ann Arbor, MI 48104-1397
Phone (734) 327-5934

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1003094178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 1ST ST",
            "address_2": "STE 1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041397",
            "telephone_number": "734-327-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 1ST ST",
            "address_2": "STE 1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041397",
            "telephone_number": "734-327-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K ANDERSON PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "734-327-5934",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301008873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.