Organization Active NPI

Laura Espinosa PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomfield Hills, MI
National Provider Identifier
1053709253
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6301015541 Issued in MI
Legal business name
LAURA ESPINOSA PLLC
Practice address
39520 Woodward Ave
Suite 215
Bloomfield Hills, MI 48304-5054
Phone
(248) 925-2250
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Laura Maria Espinosa, PSYD
Title
Licensed Clinical Psychologist
Phone
(248) 925-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6301015541 MI Primary

Addresses

Primary practice location

39520 Woodward Ave
Suite 215
Bloomfield Hills, MI 48304-5054

Mailing address

2730 Hunters BLF
Bloomfield Hills, MI 48304-1825
Phone (248) 925-2250

National Provider Directory

National Provider Directory

Locations

39520 Woodward Ave
Bloomfield Hills, MI 48304
Phone (248) 647-8412

39520 Woodward Ave
Ste 215
Bloomfield Hills, MI 48304
Phone (248) 925-2250

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1053709253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 HUNTERS BLF",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041825",
            "telephone_number": "248-925-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39520 WOODWARD AVE",
            "address_2": "SUITE 215",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045054",
            "telephone_number": "248-925-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA ESPINOSA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-925-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301015541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.