Organization Active NPI

Innovative Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grosse Pointe, MI
National Provider Identifier
1063180255
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNOVATIVE PSYCHOLOGICAL SERVICES LLC
Practice address
377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673
Phone
(248) 537-2489
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Tasha LenoNPI 1790264760
Title
Psychologist
Phone
(313) 732-7861

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673

Mailing address

377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673
Phone (313) 732-7861

National Provider Directory

National Provider Directory

Locations

377 Fisher Rd
Ste D3
Grosse Pointe, MI 48230
Phone (248) 537-2489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1063180255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 FISHER RD STE D3",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301673",
            "telephone_number": "313-732-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 FISHER RD STE D3",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301673",
            "telephone_number": "248-537-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "LENO",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-732-7861"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.