Individual provider Active NPI

Diane B Lothrop, M.S., L.L.P.

  • Clinical Psychologist
  • Livonia, MI
National Provider Identifier
1003833708
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301003050 Issued in MI
Practice address
38807 Ann Arbor Rd Ste 9
Livonia, MI 48150-3896
Phone
(313) 268-4301
Fax
(734) 943-6051
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301003050 MI Primary

Addresses

Primary practice location

38807 Ann Arbor Rd Ste 9
Livonia, MI 48150-3896

Mailing address

38807 Ann Arbor Rd Ste 9
Livonia, MI 48150-3896
Phone (313) 268-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6301003050MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Health Center, PLLC Clinical PastSince Jun 18, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1003833708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 9",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "313-268-4301",
            "fax_number": "734-943-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 9",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "313-268-4301",
            "fax_number": "734-943-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTHROP",
        "first_name": "DIANE",
        "middle_name": "B",
        "credential": "M.S., L.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.