Aimee Nicole Kotrba, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013685 Issued in MI

Practice address

8163 Grand River Rd Ste 100
Brighton, MI 48114-9482

Phone

(810) 225-3417

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Aimee Nicole Rustman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Thriving Minds Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Brighton, MI
  • NPI 1710388913
  NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1033328166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8163 GRAND RIVER RD STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149482",
            "telephone_number": "810-225-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8163 GRAND RIVER RD STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149482",
            "telephone_number": "810-225-3417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Main St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181635",
            "country_code": "US",
            "telephone_number": "734-433-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTRBA",
        "first_name": "AIMEE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013685",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "RUSTMAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Lee Konley, LMSW
• Kor Chiro Studio PLLC
• Siddhika B Kore, PT
• Rebecca Moolayil Korpal, DO
• Steven T. Korycinski, MD
• Abhilash Kotte, M.D
• Christopher Kottke, M.D.
• Maria Kottke, FPMHNP-BC
• Sarah Kowalczyk, MSOT, OTR/L
• Jerome J Kowalski, M.A.

• Clinical Psychologist in Brighton, MI
• Providers in Brighton, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.