Beverly Louise Tujague, PHD, LLP, CRC, CH

Primary specialty

PsychologistTaxonomy code 103T00000X

License

L2085895 Issued in MI

Practice address

16200 19 Mile Rd
Clinton Township, MI 48038-1103

Phone

(248) 276-8177

Fax

(586) 416-6129

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1003173808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21723 LANGE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803944",
            "telephone_number": "586-491-9044",
            "fax_number": "586-772-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381103",
            "telephone_number": "248-276-8177",
            "fax_number": "586-416-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUJAGUE",
        "first_name": "BEVERLY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PHD, LLP, CRC, CH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "L2085895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.