Individual provider Active NPI

Gretchen Moran Marsh, PH.D.

  • Clinical Psychologist
  • Franklin, MI
National Provider Identifier
1033398979
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013044 Issued in MI
Practice address
26111 W 14 Mile Rd Ste LL2
Franklin, MI 48025-1169
Phone
(248) 766-0260
NPI assigned
Oct 28, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 6301013044 MI Primary

Addresses

Primary practice location

26111 W 14 Mile Rd Ste LL2
Franklin, MI 48025-1169

Mailing address

500 Overhill Rd
Bloomfield, MI 48301-2566
Phone (248) 766-0260

Other practice location 1

280 N Old Woodward Ave
Suite 200
Birmingham, MI 48009-5300
Phone (248) 766-0260

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
6301013044MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033398979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OVERHILL RD",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483012566",
            "telephone_number": "248-766-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26111 W 14 MILE RD STE LL2",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251169",
            "telephone_number": "248-766-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 N Old Woodward Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480095300",
            "country_code": "US",
            "telephone_number": "248-766-0260",
            "fax_number": "248-594-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "GRETCHEN",
        "middle_name": "MORAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.