Active NPI
Amelie Marie Lacoste, M.A. L.L.P.
- Psychologist
- Rochester, MI
National Provider Identifier
1033433859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301014259
- Practice address
- 410 W University Dr
Rochester, MI 48307-1938 - Phone
- (248) 495-9456
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301014259 | MI | Primary |
Addresses
Primary practice location
410 W University Dr
Rochester, MI 48307-1938
Mailing address
2880 Tallahassee Dr
Rochester Hills, MI 48306-3861
Phone (248) 495-9456
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014259 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1033433859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 TALLAHASSEE DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483063861",
"telephone_number": "248-495-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W UNIVERSITY DR",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071938",
"telephone_number": "248-495-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACOSTE",
"first_name": "AMELIE",
"middle_name": "MARIE",
"credential": "M.A. L.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301014259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.