Organization Active NPI

Moxie Psychotherapy, LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1033897715
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOXIE PSYCHOTHERAPY, LLC
Practice address
3290 Ann Arbor Saline Rd Apt 103
Ann Arbor, MI 48103-9865
Phone
(734) 926-9452
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Jamie Boschee, LMSWNPI 1386379295
Title
Clinical Social Worker
Phone
(734) 926-9452

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 Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3290 Ann Arbor Saline Rd Apt 103
Ann Arbor, MI 48103-9865

Mailing address

3290 Ann Arbor Saline Rd Apt 103
Ann Arbor, MI 48103-9865
Phone (734) 926-9452

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1033897715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 ANN ARBOR SALINE RD APT 103",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039865",
            "telephone_number": "734-926-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 ANN ARBOR SALINE RD APT 103",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039865",
            "telephone_number": "734-926-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "BOSCHEE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "734-926-9452",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 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.

Verify at the official NPI Registry.