NPIMap

Organization Active NPI

CNLD Neuropsychology PC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1023721511
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CNLD NEUROPSYCHOLOGY PC
Practice address
5864 Interface Dr Ste D
Ann Arbor, MI 48103-9514
Phone
(734) 994-9466
Fax
(734) 994-9465
NPI assigned
Dec 30, 2022
Organization subpart
Yes
Parent organization
CENTER FOR NEUROPSYCHOLOGY & LEARNINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Dr. Roger E. Lauer, PH.D.NPI 1639393614
Title
Owner/Director
Phone
(734) 994-9466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5864 Interface Dr Ste D
Ann Arbor, MI 48103-9514

Mailing address

5864 Interface Dr Ste D
Ann Arbor, MI 48103-9514
Phone (734) 994-9466

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL therapynotes.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Center for Neuropsychology Learning

Locations

5864 Interface Dr
Ste D
Ann Arbor, MI 48103
Phone (734) 535-7446

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1023721511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5864 INTERFACE DR STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039514",
            "telephone_number": "734-994-9466",
            "fax_number": "734-994-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5864 INTERFACE DR STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039514",
            "telephone_number": "734-994-9466",
            "fax_number": "734-994-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNLD NEUROPSYCHOLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR NEUROPSYCHOLOGY & LEARNING",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "LAUER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "734-994-9466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5864 Interface Dr Ste D",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481039514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 30, 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.

Verify at the official NPI Registry.