Active NPI
Thomas Gerald Brewer, PH.D.
- Clinical Psychologist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301009090
- Practice address
- 3200 W. Liberty Rd.
Suite a
Ann Arbor, MI 48103-9794 - Phone
- (734) 994-9181
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301009090 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301009090 | MI | |
| Forensic Psychologist | 103TF0200X | 6301009090 | MI |
Addresses
Primary practice location
3200 W. Liberty Rd.
Suite a
Ann Arbor, MI 48103-9794
Mailing address
3200 W. Liberty Rd.
Suite a
Ann Arbor, MI 48103-9794
Phone (734) 994-9181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680H1480600 | Other | MI | BLUE CROSS BLUE SHIELD NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1207 Packard St
Suite S 2
Ann Arbor, MI 48104-3810
Phone (734) 711-3145
2881 Monroe St 2ND FL
Dearborn, MI 48124-3475
Phone (313) 359-1977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Valley Consultation Center Inc | Clinical | Current | Accepting new patients |
| Center for Family Psychiatry, PLC | Current | Accepting new patients | |
| Liberty Pediatrics PLLC | Past | Accepting new patients |
Locations
2750 S State St
Ann Arbor, MI 48104
Phone (734) 662-1986
1235 Industrial Dr
Ste 4
Saline, MI 48176
Phone (734) 944-8300
Interoperability endpoints
- https://api.platform.athenahealth.com/7128/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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 1932387263
-
- Pediatrics Physician
- Ann Arbor, MI
- NPI 1568633253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1033323563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 W. LIBERTY RD.",
"address_2": "SUITE A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039794",
"telephone_number": "734-994-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W. LIBERTY RD.",
"address_2": "SUITE A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039794",
"telephone_number": "734-994-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "THOMAS",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009090",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301009090",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MI",
"license": "6301009090",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NO",
"identifier": "680H1480600",
"state": "MI"
}
],
"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 Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.