Individual provider Active NPI

Rochelle Flumenbaum, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1023468444
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301005218 Issued in MI
Practice address
1955 Pauline Blvd
Suite 100a
Ann Arbor, MI 48103-5003
Phone
(734) 994-9466
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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 6301005218 MI Primary

Addresses

Primary practice location

1955 Pauline Blvd
Suite 100a
Ann Arbor, MI 48103-5003

Mailing address

500 Parklake Ave
Ann Arbor, MI 48103-2052
Phone (734) 649-0466

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301005218MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1023468444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARKLAKE AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032052",
            "telephone_number": "734-649-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 PAULINE BLVD",
            "address_2": "SUITE 100A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035003",
            "telephone_number": "734-994-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUMENBAUM",
        "first_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005218",
            "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 Jun 16, 2016; 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.