Active NPI
Neurobehavioral Services, P.C.
- Clinical Psychologist
- Southfield, MI
National Provider Identifier
1003400474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NEUROBEHAVIORAL SERVICES, P.C.
- Practice address
- 29260 Franklin Rd
Suite 101
Southfield, MI 48034 - Phone
- (248) 569-8700
- Fax
- (248) 856-9373
- NPI assigned
- Feb 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vera Alexsandra Sekulov, PH.D
- Title
- Owner
- Phone
- (248) 569-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
29260 Franklin Rd
Suite 101
Southfield, MI 48034
Mailing address
29260 Franklin Rd
Suite 101
Southfield, MI 48034-1182
Phone (248) 569-8700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653609600000",
"number": "1003400474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29260 FRANKLIN RD",
"address_2": "SUITE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341182",
"telephone_number": "248-569-8700",
"fax_number": "248-681-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29260 FRANKLIN RD",
"address_2": "SUITE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-569-8700",
"fax_number": "248-856-9373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROBEHAVIORAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A",
"authorized_official_last_name": "SEKULOV",
"authorized_official_first_name": "VERA",
"authorized_official_middle_name": "ALEXSANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-569-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.