Active NPI
Truc Thanh Nguyen, M.S.
- Clinical Psychologist
- Saline, MI
National Provider Identifier
1023588787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6361007316
- Practice address
- 760 Woodland Dr. East
Saline, MI 48176 - Phone
- (734) 219-9380
- Fax
- (734) 215-7090
- NPI assigned
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016844 | MI | |
| Clinical Psychologist | 103TC0700X | 6361007316 | MI | Primary |
Addresses
Primary practice location
760 Woodland Dr. East
Saline, MI 48176
Mailing address
760 Woodland Dr East
Saline, MI 48176-1682
Phone (734) 219-9380
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301016844 | MI | MD | Clinical Psychologist |
| 6361007316 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Wellness Collaborative | Clinical | Current | Accepting new patients |
Locations
760 Woodland Dr
Saline, MI 48176
Phone (734) 219-9380
760 Woodland Dr
Ste D
Saline, MI 48176
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.
-
- Clinical Social Worker
- Saline, MI
- NPI 1801564265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1023588787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 WOODLAND DR EAST",
"city": "SALINE",
"state": "MI",
"postal_code": "481761682",
"telephone_number": "734-219-9380",
"fax_number": "734-215-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WOODLAND DR. EAST",
"city": "SALINE",
"state": "MI",
"postal_code": "48176",
"telephone_number": "734-219-9380",
"fax_number": "734-215-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRUC",
"middle_name": "THANH",
"name_prefix": "Miss",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016844",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6361007316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.